Financial Assistance Application

Posted on July 3, 2025 Posted By: Debbie Crowley Categories:

Eligibility Requirements:

To be considered for assistance, applicants must meet the following criteria:

Have not received financial assistance from Catholic Charities Financial Assistance Program within the last 12 months
Present a valid form of identification during the visit
Provide a current utility bill at the time of the visit
Be prepared to participate in a one-hour meeting with a case manager, which includes a brief financial literacy session
Bring current monthly bills for review during the financial literacy session

Important Note:

If you do not receive a call from us on Tuesday, you will need to reapply the following week for consideration. We recognize that many families are experiencing financial stress and hardship, and we are committed to providing support with the utmost dignity and respect. While we strive to assist where we can, please understand that our resources are limited. We will also do our best to connect you with other helpful resources.

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This field is for validation purposes and should be left unchanged.

Full name(Required)

Date of Birth(Required)

Phone(Required)

Address(Required)

Street address City State Zip code

Number of people living in household (including yourself)(Required)

Please indicate your primary spoken language:(Required)

English

Spanish

Please briefly describe the unforeseen hardship you are experiencing and how it has affected your ability to pay your utility bill.(Required)

⚠️⚠️Important Program Guidelines: This program provides assistance for ONE utility bill only (electric, gas, or water). / We do not provide assistance for rent, mortgages, or multiple bills. / Simply stating “utility bill” or listing an amount is not sufficient and will result in automatic denial. / Requests for utility bills over $300 must include additional detail explaining the hardship. ⚠️⚠️

Please provide the following information for the ONE utility bill you are requesting assistance with:(Required)

Type of utility (electric, gas, or water) / Utility company/provider name / Total amount due as shown on the bill

Submitting documents before your appointment

To ensure a smooth and efficient appointment, please upload your utility bill and any other relevant supporting documents in advance. This is optional, but is preferred.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 100 MB, Max. files: 5.

Other services information:

Financial Assistance Application

FINANCIAL ASSISTANCE APPLICATION

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