Application Checklist


The Trustee can approve assistance primarily for RENT, GAS, ELECTRIC and WATER.  Assistance is usually NOT provided for mortgage, trash, sewer, phone, internet/cable, insurance, medical bills or taxes. In rare cases, some exceptions are made.

When you arrive, staff will make copies of your required paperwork as you complete an application (15-20 mins). Missing information may delay assistance or be cause for denial. Once completed, you will interview with the Intake Coordinator (15-30 mins) to explain your situation.  Plan for the time necessary to complete both the application and interview.

    • If Requesting Rent AssistanceMUST have a landlord statement.
    • If requesting Utilities AssistanceMUST have a disconnect notice.
    • If age 18 or older in household – MUST sign the application and provide all that is stated below.

Bring the following items with you at the time of application:

   Photo ID of adult applicant
   Social Security cards: all members of household
   Copy of lease agreement
 – If requesting rent, must obtain statement from landlord that includes landlords name, address, phone number and  base rent owed plus any deposits and fees.
□   All monthly bills: gas, electric, water sewer, credit cards, cable and phone bill or any other regular payments
□   Income for household: Last 30 days of paystubs, SSI or SSDI, child support, TANF or any other income from all in household.
□   Bank Statement: most current CHECKING OR SAVINGS ACCOUNT statement verifying all expenses paid out in past 30 days
□   Other Assets: 401K, CD’s, other funds, etc.
□   Medical Information: a doctor’s statement pertaining to the illness or disability
□   Food Stamps: provide statement showing receiving or have applied.
□   Quit or lost job: Must provide statement showing receiving or have applied for unemployment benefits

The Trustee has up to 3 days to make a decision.