Low-to-moderate income families can ease their immediate financial burden by applying for up to $5,000 for payment of rent or mortgage, auto expenses, utility bills, medications, home care services, food, child care, or hotel accommodations.

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AFTER FILLING OUT APPLICATION, SCROLL DOWN TO

UPLOAD COMPLETED APPLICATION BELOW

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Please Remember to Complete Program Request Form in Application. 

This page is for social workers to indicate what amount of funding

each family qualifies for (up to $5,000 total).

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If a family didn't qualify for the full $5,000 at initial diagnosis,

you can request additional funding for each family as needed (based on qualification guidelines) by completing the below Program Request Form within their approval year.

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