Apply For Relief Grant

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Please upload a current pay stub from a service industry employer as well as any supporting documentation that will help support your application using the attachment option at the bottom of the form. This may include medical bills, receipts for childcare expenses, transportation invoices or any other relevant documents. Total file size of attachments cannot exceed 15MB. *** By submitting this form, I confirm that all the information provided is true and accurate to the best of my knowledge. I understand that any incomplete or false information may result in my application being rejected. I also understand that submission of this form does not guarantee that my application will be approved. ***