FINANCIAL ASSISTANCE APPLICATION

Please remember to submit the following documents (photos/screenshots are accepted) via email (info@allendalelove.org) or in-person WITHIN 24 HOURS OF SUBMITTING THE ABOVE FORM:

______ IDs for EVERY ADULT in the household (Driver’s License or State ID)

______ Birth Certificates for ALL children in the household

______ Proof of income for the last 3 months for all members of the household

______ If self-employed, include a copy of most recent tax return information

______ Proof of any child support received or given in the last 3 months

______ For Social Security or Veteran’s Benefits, attach a copy of the current award letter

______Copy of your current Heating Bill Statement

______Copy of your current Electric Bill Statement

______ Copy of MDHHS State Emergency Relief (SER) Paperwork (if applicable)

______ Copy of Rental Lease Agreement

______ Copy of Eviction Notice (if applicable)