Payment HELP

Step 1. Register as a client. If you have previously registered, you don't need to do it again.

Step 2. Schedule an appointment to meet with one of our staff members to discuss your need.

Step 3. Upload any remaining documents you may have been missing. We can't begin to assist you until we have received all required documents.

If you do not have the documents that are required, please complete the form below. Please note that different programs require different documents. Some programs may require very few documents while some may require a lot.

Step 4. You may use one of the applications below for your own information or to give to our staff.

Types of Assistance Available
Please note that the assistance we provide comes from a variety of resources and may not be available at all times or in all locations.

  • Auto Repair Services​​
  • Rent Payments
  • Utility Payments
  • Prescription Payments
  • Physicals (Payments)
  • Vision Screening (Payments)
  • Prescription Payments
  • Doctor Visit Payments
  • Mental Health Counseling Payments
  • Dental Service Payments
If you are working with another agency, church, or case manager and wish to share your information from our agency with them, please complete the Information Release form.​

Forms for your landlord or others who are helping you.