Request for Cash Assistance from The Stronger Together Fund
To request financial assistance from the Greater Attleboro Stronger Together Fund, please complete the form below. After this form is submitted, the referring agency will contact you at the phone number that you provided.
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Who is the referring agency? *
Client First Name *
Client Last Name *
Client Home Address *
Is this request for an Individual or Household? *
How have you been affected by the COVID-19 crisis? Select all that apply. *
How much financial assistance do you need right now? Select all that apply. *
If you need another amount, please write that amount here.
What do you need this money for? Check all that apply. *
What is the best phone number to reach you? *
How were you referred to The Stronger Together Fund? *
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