Application For Assistance

All applicants must produce the following verification for assistance:

  • Picture ID for the one requesting
  • Proof of residency (Lowndes, Brooks, Barrien, Echols and Lanier Counties)
  • Proof of employment

    General Information




    Others in Household

    Financial Information

    Current Expenses


    Additional Information

    Or, Download Form Here

    • Please be advised that our total budget for providing assistance in any given month is only $500.00.  In order to help as many people as possible we review each application closely and might not be able to provide the full amount requested.
    • Unfortunately, due to increased demand, we can no longer help with rental payments.
    • Power and water utilities, most you can receive is $250 in assistance once a year.

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