Financial Assistance
Fremont Family Coalition is here to support individuals and families in Dodge, Washington, and surrounding counties who are experiencing financial hardship. If you’re facing urgent challenges such as housing instability, utility shutoffs, or other critical needs, you may be eligible for help through our Financial Assistance Application.
To begin the process, please complete the application below. Our team will work to connect you with available resources and community partners.
Please note: submitting an application does not guarantee approval. Assistance is based on eligibility and available funding.
DOWNLOAD YOU FORM
Central Navigation Financial Assistance Application Checklist
Central Navigation Intake Form
Fremont Family Coalition Release of information
CR/CYI Support Services Fund Application Form
Budget Form
Important Submission Information
To ensure your application is considered in good order, please make sure to submit all required forms along with the necessary supporting documentation. Incomplete submissions may result in delays or processing issues.
Once we receive your complete application, please allow 7–10 business days for a decision to be made.
You can submit your completed forms in person at our office or via email at referrals@fremontunitedway.org.