ST. VINCENT COMMUNITY HELPING HANDS INC

Rent and Utility Bill Assistance

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If youre struggling to pay your bills or keep food on the table, we may be able to help.
St. Vincent community helping hand provides financial assistance to those in need. We offer rental and utility assistance programs to those who are struggling to get back on their feet. We know that times are tough and money is tight. That's why we're here to be of help.

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Full Name*
Phone Number*
Email Address*
Date of Birth*
Gender* Select Gender Male Female
Marital Status* Select Marital Status Single Married Divorced Seperated Widowed
Occupation*
If you're unemployed please fill in "not employed"
Monthly Income*
If you're unemployed or have no income please fill in $0
What do you need help with?* Rental Assistance Utility Assistance
Do you have a verifiable past due rent notice or due utility bill?* Yes No
How much is your owed rent or due utility bill? *
Amount approval and disbursement is subject to available funds
Do you have a copy of your past due rent, eviction notice or utility bill? UPLOAD NOW (Optional)

Home Address*
State*
City*
Zip*
What Financial Institution do you bank with?*

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