Support to those affected by the COVID-19 Pandemic
Eligibility Requirements: All applicants must be Henry County residents. In order to be considered for support there must be proof of financial need directly related to the COVID 19 pandemic.
Are you a Henry County Resident?
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Yes
No
Do you have mortgage, rent or utility bills which are delinquent due to COVID -19?
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Yes
No
First Name
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Last Name
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Phone Number
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Email Address
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Physical Mailing Address
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Apartment, suite, etc
City
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State
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ZIP Code
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Please select the type of home you live in
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House
Apartment
Other
Explain Other
Proof of Henry County Residency
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(acceptable forms of proof of residency: copy of utility bill, mortgage statement, rental lease) (option to upload a picture or document)
Have you received support from a Henry County Nonprofit or Small business due to COVID-19 in the past 8 – 12 months?
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Yes
No
If yes, please state the name of the organization and when assistance was provided. Type NONE if no.
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Is your mortgage or rent delinquent due to lack of work due to COVID-19?
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Yes
No
Are your utilities delinquent due to lack of work due to COVID – 19?
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Yes
No
Please explain how your household was impacted by COVID-19 in 2024.
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Please provide the number of people in your household and their age(s).
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This support is being provided to low income individuals as defined by Henry County. Proof of income must be provided to be considered for this support.
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Proof of income (Paystub dated within 2 weeks, 2023 W2 or 2023 1099 only PDFs accepted) Include dropdown menu with the choices above then an option to upload the document.
Please provide annual income:
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Please upload your identification:
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Please provide any additional information you wish to share in the box below:
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*No payment will be made directly to applicants. If awarded support payment will be made directly to the mortgage company, rental property management company or utility company.
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