Request for One Time Assistance
Important Instructions – Please Read Carefully
The more complete your application, the better the chance it will be approved by the committee. Please review the documentation requirements outlined below before starting the form.
Documentation
1) Proof of income:
Social Security statement OR
Last 2 paychecks
2) Copy of license or SC ID
3) Letter that includes:
why you need help
what you need help for
your plan for next month so you aren’t in the same financial
situation
4) Copy of the actual bill for which you are requesting help
5) Documentation of the crisis or emergency - examples
Medical bills
Death certification
Pictures of car wreck and bills
Repair bills (example: water leak)
Copy of the police or fire department report
(domestic abuse, fire, car wreck, etc.)
Lease for rent
This application usually takes about 5–10 minutes to complete.
