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Apply For Assistance

To qualify for assistance, a potential client must present the following:

  • Valid Photo ID
  • Social Security Card(s) – A card must be presented for every member of the household. If social security cards are not available a birth certificate will do.
  • Proof of residence - A current utility bill, a current lease agreement, or any other bill with name and current address.
  • Proof of Income – This includes any and all income that comes into the home. Current or recent pay stubs, SSI award letters, food stamp award letters, a current bank statement if income is directly deposited into an account, child support
    orders, etc.

Click here to open or download the two page application. If you decide to download the file, open in Adobe Reader or Adobe Reader DC.


Hours of Operation: Monday – Friday, 1 – 3 PM ® Randolph Area Christian Assistance Program