top of page

EMERGENCY FOOD & MORE FORM 

FREE PHONE & TABLET

Receive Government Assistance

 Apply for a Free Tablet!

Need to submit documents?
Upload Here
DOCUMENT UPLOAD
Select up to 10 files (PDF ONLY)
PHOTOS UPLOAD
Select up to 10 files (JPG ONLY)

Your content has been submitted

COMPLETED FORM

Must be printed, filled out and completed

Your content has been submitted

Your content has been submitted

Your content has been submitted

Your content has been submitted

Your content has been submitted

Your content has been submitted

Your content has been submitted

Your content has been submitted

Your content has been submitted

Your content has been submitted

Your content has been submitted

PROOF OF ID

Government ID or Passport

PROOF OF CHILDREN

Birth Certificate, or hospital birth card if just born

PROOF OF ADDRESS

Energy, phone, credit card bill, or lease.

PROOF OF INCOME

Recent pay stub, SSI or Disability Benefits, etc...

PROOF OF GOV. ASSISTANCE

SNAP, WIC, TANF, Medicaid, Medicare, etc...

SOCIAL SECURITY CARDS

All members in your household

Subscribe Form

Thanks for submitting!

  • Facebook

©2024 by BIG HEARTS UNITED INC.

bottom of page