Unexpected financial hardships may include, but are not limited to the following:
*Based on your financial hardship which is listed in bold, the required document is listed underneath
NOTE: Unexpected expenses paid with a credit card will not be considered.
**These are examples of hardships and documentation. Your household must have experienced a financial hardship within the last 6 months that is not the result of criminal activity.
Letter from employer verifying last date worked and reason for termination on signed company letterhead.
Written documentation from employer on letterhead signed stating effective date of reduction and reason for reduction with pay stubs within the last 6 months to verify statement from employer.
Written and signed verification from landlord that person is no longer at residence and date they left the household or verification of incarceration (in jail) and documentation that person was a contributing member of the household – example: recent check stubs.
*Note: previous resident must have been on the lease agreement for loss to be considered.
Court Order with customer and child’s name showing date order became effective and receipts showing additional expenses paid out for child.
Current child support print out showing gap in payments
Unemployment appeal decision letter showing you have been approved for benefits and notarized DEO form.
Medical excuse from licensed physician stating dates out of work under doctor’s care and expected date of return (no medical records accepted).
Receipt in customer’s name from licensed vendor within the last 6 months (car repairs also require current car registration)
Print out or letter from agency verifying gap in payments and reason (if STD or workman’s comp)
Social Security Awards letter verifying the lump sum Medicare Premium being taken out
Must have documentation from employer on signed company letterhead indicating the start date and the situation, such as temporary assignment ending, layoff, decrease in hours or sales etc.
Must have police report filed within 30 days of incident occurring
Receipt from funeral home showing amount paid or receipt for plane ticket/travel expenses along with death certification, obituary, and/or funeral program for deceased
Written report from Fire Marshall indicating occurrence was at the household
If you still would like to complete the application after reviewing the required documents listed above, please click on the link below to START the application. Thank you.
PLEASE CLICK HERE TO START THE APPLICATION.