Get Financial Assistance Request Form

This guide provides clear instructions on how to successfully complete the Financial Assistance Request Form online. By following these steps, users can effectively convey their financial needs to access the appropriate support.

Follow the steps to accurately fill out the Financial Assistance Request Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your name(s) in the designated field at the top of the form. This helps identify who is requesting financial assistance and ensures proper documentation.
3. Provide your full address, including city/state. This information is necessary for contact purposes and may affect your eligibility.
4. Fill in your home and cell phone numbers, ensuring they are current for effective communication regarding your request.
5. Indicate your age(s) clearly in the space provided. This information may be relevant for assessing support levels.
6. Select your marital status by checking the appropriate box. This helps the reviewing committee understand your household composition.
7. Enter the name and location of your home church, if applicable. If you are a member, specify how long you have been associated with that church.
8. If you are not a member of a church, briefly explain your situation in the designated space provided.
9. Input current or most recent employer information for both you and your partner, if applicable. Include the name of the company, phone number, and contact person.
10. If you are currently unemployed, check the relevant box to indicate your employment status accurately.
11. List the names and ages of children living with you daily in the provided section. If applicable, include contact information for adult children.
12. Clearly state the type of help you are requesting. This helps the committee understand your needs better.
13. Provide a brief explanation of the circumstances that led to your need for assistance. Be honest and detailed to facilitate support.
14. List other sources of financial assistance you have pursued in the past year and the support provided by each.
15. Indicate whether you or your partner's parents are still living and provide their contact information if relevant.
16. Mark any financial aid you may be receiving from government agencies in the provided options. Indicate any additional support not listed.
17. Answer whether you are willing to meet with a Benevolent committee for further discussions about your financial situation.
18. Indicate your willingness to work with a financial budget counselor, if helpful.
19. Provide your signature, printed name, and date at the bottom of the form to authorize the validation of the information provided.
20. Once all fields are completed, save your changes, download or print the completed form for your records, and share it as necessary.

Complete your Financial Assistance Request Form online today to access the support you need.