Get Lancaster County General Assistance Application Form

Completing the Lancaster County General Assistance Application Form online is a crucial step towards receiving the assistance you may need. This guide provides step-by-step instructions to help you navigate the application process with ease.

Follow the steps to fill out the form accurately and efficiently.

1. Click ‘Get Form’ button to access the Lancaster County General Assistance Application Form and open it for editing.
2. Fill in your personal information in the designated sections, including your first name, last name, middle initial, and any aliases or maiden names you may have used.
3. Provide your current address by entering the street name, city, state, and zip code. Include your phone number and cell phone number for contact purposes.
4. Select the reason for your request from the options provided. You may choose from categories such as hospital/emergency room assistance, medical care, legal separation, or other specified needs.
5. Indicate your marital status by checking the appropriate box (e.g., single, married, divorced, etc.). If applicable, provide the name of your ex-spouse and any relevant dates regarding your marital status.
6. Specify your veteran status, if relevant. Indicate whether you or your spouse is a veteran and provide necessary details, such as the branch of service.
7. List all household members, including yourself. Provide necessary details such as their names, dates of birth, ages, sexes, and relationships to you.
8. Document all residences for the past two years, starting with your current address. Include street address, city/state/zip, duration of stay, and relevant dates.
9. Answer questions related to your medical conditions or specific financial needs. Provide details regarding any treatment programs you are enrolled in.
10. Fill out the employment history and income section. Provide details of employment within the last 24 months, including employer names, job duration, and monthly gross income.
11. List all sources of income, including child support, veteran assistance, social security, and other relevant financial support. Document how you spend your income and any assets you may have.
12. Add information about your financial resources, such as bank accounts, personal assets, life insurance, or any other property ownership. Answer yes or no to the relevant questions and provide monetary values as indicated.
13. Conclude by providing any additional information that may be relevant to your application, including eligibility for other assistance programs or your tax return status from the previous year.
14. Review the application for accuracy. Ensure that you have signed and dated the form where required. If someone assisted you, ensure they also sign.
15. Once all sections are completed and reviewed, proceed to save your changes. You can download, print, or share the form as needed.

Start completing your Lancaster County General Assistance Application Form online today!