Request for Financial Assistance

Please note that any request for assistance will be submitted to a committee for review and may take up to a week for a response.

Our policy is to help regular attendees of New Life Fellowship first, and if funds are still available, we will be able to help those who do not attend New Life Fellowship.

We only help with one of the following:

Utilities - paid directly to the utility provider.

Food voucher to Walmart

If you need help in any other areas of need, we suggest the following:

BRAG - brag.utah.gov

Cache Valley Food Pantry: 435-753-7140

Today's Date:

Date

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Do you currently attend New Life Fellowship?

If not, which church do you attend?

Have you contacted your church for help?

How did they help?

Are you currently employed?

Where are you employed?

Have you received help from New Life in the past?

What area do you need help with:

What is the name of the utility company?

How much do you owe?