Get Wrap Application

The Wrap Application is designed to facilitate access to emergency funds for adults experiencing Severe and Persistent Mental Illness (SPMI). This guide will provide a step-by-step approach to effectively complete the form online, ensuring that you understand each component required for submission.

Follow the steps to complete your Wrap Application online.

1. Use the ‘Get Form’ button to access the Wrap Application. This will open the form in your online editor for entry.
2. Fill in the applicant's personal information. Provide your name, address, telephone number, and Social Security number. Ensure all entries are legible and in black or blue ink.
3. Indicate whether you are currently receiving Section 17 Services. If yes, your case manager should verify your enrollment and provide the necessary documentation.
4. Detail your household's financial status. List all forms of income, assets, and monthly expenses, ensuring accuracy in your reported figures.
5. Specify your emergency need in Section 3. Provide a concise description of the situation prompting the application and how Wrap funds will resolve the issue.
6. Select the relevant Wrap fund category and specify the amount requested. Be sure to include any necessary supporting documents for your request.
7. Certify the application by signing the form. Ensure the applicant and any representatives provide their signatures where required.
8. Once complete, save your changes and download or print the application. You may then submit it via mail, fax, or as requested through your case management provider.

Begin your Wrap Application process online today to ensure timely access to the support you need.