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?
*
Yes
No
Do you have mortgage, rent or utility bills which are delinquent due to COVID -19?
*
Yes
No
First Name
*
Last Name
*
Phone Number
*
Email Address
*
Physical Mailing Address
*
Apartment, suite, etc
City
*
State
*
ZIP Code
*
Please select the type of home you live in
*
House
Apartment
Other
Explain Other
Proof of Henry County Residency
*
Choose File
No file chosen
Delete uploaded file
(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?
*
Yes
No
If yes, please state the name of the organization and when assistance was provided. Type NONE if no.
*
Is your mortgage or rent delinquent due to lack of work due to COVID-19?
*
Yes
No
Are your utilities delinquent due to lack of work due to COVID – 19?
*
Yes
No
Please explain how your household was impacted by COVID-19.
*
Please provide the number of people in your household and their age(s).
*
Please provide proof of income (Paystub dated within 2 weeks, 2024 W2 or 2024 1099 only PDFs accepted)
*
Choose File
No file chosen
Delete uploaded file
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.
Proof of income provided
*
Paystub dated within 2 weeks
2024 W2
2024 1099
Provide PDF files only
Please provide annual income:
*
Please upload your identification:
*
Choose File
No file chosen
Delete uploaded file
Please provide any additional information you wish to share in the box below:
————————–
*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.
Send Message
Connect
Facebook
Twitter
Youtube
Home
About Us
Covenant Fellowship
Contact
Home
About Us
Covenant Fellowship
Contact
All rights reserved © The Light of the World Christian Tabernacle International
