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General Assistance Application

Office Closed Thursday, June 4th, and Friday, June 5th, 2025 due to staff training.

I have read and understand the information above.

Eligibility
Families with children under the age of 19 in their custody in Southwest and West Central Nebraska may qualify for assistance or support services. Counties served:

Arthur     Chase     Dundy     Frontier     Furnas     Grant     Hayes     Hitchcock     
Hooker     Keith     Lincoln     Logan     McPherson     Perkins     Red Willow     Thomas

Applicant Information
We take your privacy seriously. You may be asked to provide documentation verifying legal presence in the U.S. for program eligibility.

To help us communicate with you effectively, please select the language you prefer to use when speaking with our staff.
Do you need interpretation services?
First Name *
Last Name *
Month
/
Day
/
Year
Or ZIP code if no stable housing
Country
Address Line 1
City
State/Province
Postal Code *
Please describe your situation and what kind of help you're seeking:
Do you have a lawful presence in the United States?
To determine eligibility for certain funding or assistance, we may request documentation of lawful presence in the U.S. You will only be asked if required by the funding program.

Additional Information

You may be asked to provide documentation such as a recent bill, statement, and/or proof of income. 

Were you referred to us by someone, or an agency?
Once submitted, a member of our team will call the phone number provided about next steps and available supports.
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