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.