FCS Funding Application
Please complete this form in its entirety. Incomplete applications will NOT be approved. Please allow AT LEAST three business days for processing. Once your application for funding has been processed, both you and your designated provider will receive an email notification of your funding status. 
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Email *
Name *
Phone 
 *
Case Number (dashes only, no spaces; example CV14-24-000) *
Petitioner *
Respondent *
County *
Court ordered service *
Name of service provider *
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