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Emergency Financial Assistance Intake Form

Emergency Financial Assistance Intake Form

To relieve the burden on our phone system we have added an online option to request assistance. Please fill out the forms below to start the process. Submission of this form DOES NOT guarantee that you will be granted an appointment or assistance.

Please know that we are dedicated to helping as much as we can, however you may not qualify for certain types of assistance.

Please be aware that the form is only open when ICS has available funds to provide rental and utility assistance.

The rent and utility assistance forms will open again on March 4, 2024.

Rental Assistance

If you need rental assistance, please fill out the form below.

Please note that the form is only open when ICS has available funds to provide rental assistance.

We're sorry, we have no more availability for rent or mortgage assistance application requests at this time.
Please know that your request submission was successful when you receive an email confirmation after, and to check your inbox to complete the full application form.

Utility Assistance

If you need utility assistance, please fill out the from below.

Please note that the form is only open when ICS has available funds to provide utility assistance.

We're sorry, we have no more availability for online utility application requests at this time.
Please know that your request submission was successful when you receive an email confirmation after, and to check your inbox to complete the full application form.