Emergency Assistance Application
Kim Wilson Housing, Inc is offering financial assistance with past due rent or past due utility bills for WYANDOTTE COUNTY, KS residents only who have been directly affected by COVID-19.

A submitted application is not a guarantee of financial assistance. Our staff will contact you once your application has been reviewed. **Approval subject to availability and funding
First and Last Name *
Do you live in Wyandotte County, Kansas? *
Required
Current Address *
City *
State *
Zip Code *
Phone Number *
Email Address *
If you do not have a telephone, please explain how we can contact you (phone number to leave a message, family member phone, etc.) *
Total number of individuals in your household *
Total number of adults *
Total number of children under 18 *
Is your request COVID-19 related? *
How is your request COVID-19 related? *
Please describe in detail how your request is related to Covid-19. *
What emergency assistance is needed?
Clear selection
I understand all information provided is confidential. * *
Required
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