Short-Term Utility, Rental, and Mortgage Assistance 2021-2022
Complete form below for up to $200 in Utility Assistance and/or up to $300 in Rental/Mortgage Assistance. You will be contacted by phone or email from one of our staff members and notified of your approval and amount approved for or a denial along with a reason why.

For Utility, Rental, an Mortgage Assistance Proof of Burden or Other Documentation will be required. ( Ex. MLGW Bill/Cut off Notice, letter from Landlord etc.).

Please email a copy all documents to info@plusmemphis.org 

You may be approved for one or both services. Please remember there are limited funds available and we are trying to help as many people as we can.
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Email *
First Name Last Name *
Please click the drop down box and enter TODAY's date. *
MM
/
DD
/
YYYY
Phone Number *
HIV Status *
What is your current housing status? *
Are you receiving any HOPWA,TBRA,Section 8, or other public assistance housing programs? *
Services Requested *
Required
Referral Source (How did you hear about P.L.U.S. Memphis Services) *
You will be contacted by phone or email from one of our staff members and notified of your approval and amount approved for or a denial along with a reason why. For Utility, Rental, an Mortgage Assistance Proof of Burden or Other Documentation will be required. ( Ex. MLGW Bill/Cut off Notice, letter from Landlord etc.). Please email a copy all documents to info@plusmemphis.org You may be approved for one or both services. Please remember there are limited funds available and we are trying to help as many people as we can. *
I agree that the information submitted is truthful to knowledge. *
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