United Christian Ministries: Financial Assistance Request Form
OUR SERVICE AREA INCLUDES PICKENS COUNTY (EXCEPT CENTRAL AND CLEMSON) AND THE POWDERSVILLE AREA. If you are seeking food assistance, you do NOT need to fill out this form.We have a drive-thru food pantry available on Mondays, Wednesdays and Fridays between 9am-noon.
Email address *
You will receive an email from UCM Reception (ucmpc2018@gmail.com). Please check your trash/junk/spam if you don't see an email within two days. We will NOT contact you by phone until we have received all the required documents.
Please note that your online request can take up to a week to process. If you are in danger of disconnect or eviction this week, we advise you to come to our office on Monday, Wednesday or Friday from 9:00-10:30am with the required documents (see below).
What is your FIRST name as it appears on your ID? *
What is your LAST name as it appears on your ID? *
Please provide a phone number where you can be reached between 9am-noon. (We will not call you until you email us the required documents.) *
What city do you live in? Please note that our service area includes Pickens County (except Central and Clemson) and the Powdersville area of northern Anderson County in South Carolina. *
Have you received food or financial assistance from United Christian Ministries before? *
Required
How can we help you? What kind of financial assistance are you requesting help with today? *
Required
Please check the boxes that correspond to your situation. (If your household income has been affected by COVID-19, we will require documented proof such as your DEW username & password, paycheck stubs, and/or a letter from your employer.) *
Required
We often need to contact other agencies in order to determine the approval or denial of your request for financial assistance. This may include your utility company, landlord, employer or other local agencies that you have recently received financial assistance from. (Check only ONE box.) *
Required
When we receive the required documents by email, a UCM representative will call you on Monday, Wednesday or Friday between 9:00-11:30am for an intake interview about your situation. Below are the topics that will be discussed. Please check EACH box after you have read the descriptions so that you will be prepared. *
Required
Before we will contact you about your situation, we will need the following documents emailed to ucmpc2018@gmail.com. Please check ALL the boxes after you have read each requirement. *
Required
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy