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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 form 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.

I need help paying my utility bills

If you need help paying your utility bills please fill out the form below. Lets get started
Sorry. This form is no longer available.

I need help paying my rent or mortgage.

If you need help paying your rent or mortgage please fill out the form below. Lets get started
We're sorry, our Rental Assistance appointments have been filled for the week. Please try again Monday August 17th at 9am.

I need other types of help.

If you need help other than utilities or rental assistance, please fill out the form below. Lets get started
Sorry. This form is no longer available.

I don't have enough food

Visit our food banks.

2820 West Ina Road is open Monday – Saturday from 8:00 a.m. – 11 a.m. and Tuesday from 5 p.m. – 6:30 p.m. for Pima County residents. To be eligible, bring a picture ID showing residence in Pima County (or bring a rent or utility bill documenting your name and address). ICS operates as a pantry of the Community Food Bank of Southern Arizona; recipients can receive one monthly emergency allotment from any of the food bank pantry outlets. ICS also offers supplemental items when available.

The Food Bank at the Eastside Office at 8710 E Old Spanish Trail is located at the New Spirit Lutheran Church and is open Tuesdays and Thursdays from 10:00 a.m. to 1:00 p.m

I need help finding a job.

Our Workforce Development Centers are only open virtually. You can request a consultation by completing the form below. We also have a job seekers resource page where you can find online help.