Northeastern Nevada SAFE- Application for Assistance
Northeastern Nevada SAFE has limited funding each year to assist elderly individuals throughout Elko County. The SAFE Assistance Program is for Elko County residents aged 60 and older. Applicants must have a valid government-issued I.D. and proof of monthly income. Applications are accepted on a rolling basis. Applicants can apply once a year. Please allow two weeks for a response/decision. SAFE will only approve applications if all requirements are met, and funding is still available. SAFE may request additional information beyond this form. SAFE will only approve up to $500 in assistance. Oftentimes, approval is less than $500. Northeastern Nevada SAFE reserves the right to approve or deny any application. All decisions are final.
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Email *
Full Name *
Address *
Phone Number *
Date of Birth *
How long have you lived in Nevada? *
Please list household monthly income *
Do you have proof of this income? *
List any current assistance or aid you are receiving (SNAP, Medicaid, Medicare, Nevada Check Up, Indian Commodities) *
Housing Status *
Transportation *
Current Employment *
Previous Employment (past 24 months) *
Please list estimated monthly expenses (Example: Phone- $150 Rent-$1,500) *
What type of assistance are you requesting? *
What is the amount needed to fulfill your assistance request? *
If "other", please explain.
In your own words, please describe why assistance is needed.  *
Please list two references, including name and number. *
How did you hear about us? *
A copy of your responses will be emailed to the address you provided.
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