• Assistance Appointment Request

    Please complete all information and select a date and time that works best for you.
  • Please arrive 15 minutes before your scheduled appointment. If you are not present by the start of your appointment, it will be cancelled and noted as a no show. For all no shows, a new appointment will not be accepted within 30 days.

  • With scheduling an appointment, you are required to provide Eblen Charities with ALL required documents no less than 3 business days prior to appointment day and if not received, your appointment will be cancelled.  (Deliver in person or send via email to info@eblencharities.org)

    You are required to show up to your appointment 15 minutes prior to appointment. If not, subject to appointment being cancelled.

    Provide INCOME for all household members. Anyone without income in the home for those over the age of 18 (out of high school) must complete Eblen Charities document “Attestation of No Income”.  Click here for form.

  • Please choose the type of assistance you are requesting and check all information that applies to your need.

  • Download this form to give to your landlord. It must be completed before your appointment.

    Landlord Rental Agreement Form

  • If the account holder does NOT live in your home, please download this form and have it completed by the account holder before your appointment.

    Utility Account Holder Form

  • EACH APPLICANT MUST HAVE THE FOLLOWING DOCUMENTS SENT IN 3 DAYS BEFORE YOUR APPOINTMENT. 

    CLICK HERE AND READ CAREFULLY THE REQUIREMENTS.

  • Pick a time from only ONE calendar to make your appointment.

    If for any reason you need to cancel your appointment, please contact Eblen by email at info@eblencharities.org or call the office at 255-3066 at least 24 hours in advance.

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