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Home
About
About the EOC of Suffolk
Board of Directors
Staff Members
Staff Spotlight
Employment Opportunities
Programs
Chronic Health Care Coordination
Community Based Initiative
Emergency Assistance Program
Family Development Programs
HIV/AIDS/HIV(-) Targeted Prevention and Support
Montauk Child Care
HUD COC Rapid Rehousing Program
Housing Programs
Housing Programs
Mortgage Default/Foreclosure Prevention
Comprehensive Housing Counseling
Housing Resources & Important Links
Services for People With Developmental Disabilities
SNUG Violence Prevention
Suffolk County Family Court Children’s Nursery
Supportive Services for Veteran Families (SSVF)
Supportive Services for Veteran Families (SSVF)
5K 4 Fighters Run/Walk
Way To Grow Child Care of East Patchogue
Wyandanch Weed and Seed Program
Youth & Adolescent Services
Additional Services
Directory
Family Development Centers
Child Care Centers
Health Related Programs & Services
Housing Related Services
Community Related Services
Other Programs & Services
Press
Media
Photo Gallery
Calendar
Resources
Resource Links
General Information & Numbers
Temporary Assistance and Food Stamp Benefits
Indices of Youth Needs in Suffolk County
Contact
Contact Us
Donate Today
Sitemap
Online Privacy Policy
EOC Suffolk – Emergency Assistance Program Application
Emergency Assistance Application
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1 - Have you been impacted in any way by the COVID-19 pandemic? (If yes, please describe how below)
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No
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2 - Please describe the type of financial assistance you are seeking: (Please include exact amounts)
3 - Please describe the cause of your financial hardship/current situation: (please include how you fell behind)
4 - Describe what type of assistance you’ve attempted to access before seeking assistance through EOC’s Emergency Assistance Program, including what personal resources you’ve used:
5 - List all current income for all household members:
6 - Long-Term Recovery Plan: (Describe how you intend to gain stability and maintain your needs once assistance is provided)
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