Instructions:

If you are a resident of DeKalb, LaGrange, Noble, and Steuben County only and in need of assistance, please fill out each section of this form. These questions will help determine if your family may qualify for our Resource and Referral program. 

We cannot process your request without all of this important information, so please answer every question included on the application form. 

Please be prepared to provide proof of:

  • Household income

  • Identification

  • Copies of lease agreements/ bills/invoices

 

Additional Resources:

If you or a family member needs additional resources, please call 211 or visit FindHelp.org. For mental health assistance, call the national hotline at 811.

If you need assistance in a different county, please visit our East Region or West Region form.

Client Handbook

Click to download a copy of our Client Handbook and Participation Agreement. If appointments are available, a case manager will contact you to schedule an in-person meeting to further determine if we are able to assist you. 

Unfortunately at this time, due to a high volume of requests, we are not able to assist every applicant. If appointments are available, a case manager will contact you to gather more information to determine if we may be able to assist you. Current wait time is several weeks.

If you receive an email from someone requesting personal information on behalf of Catholic Charities and they do not have a @ccfwsb.org email address, do not send them anything.