Financial Assistance Request

Please Note – This Form is ONLY for Individuals who are NOT able to Request Assistance In-Person (M-F – 8:15AM) due to Disability, Work Schedule or Illness


LUM staff members will review your online request and call or email you from 8:30 to 11:00 a.m. Monday thru Friday after your application and supporting documentation (lease or utility bill, etc) are received. Due to a higher volume of assistance requests, please allow five (5) business days for a phone call from a LUM volunteer advocates. Phone calls to clients submitting online requests will be made as time allows. Priority will be given to in-person requests over online requests. For more information about the LUM Financial Assistance Program, click HERE.


In order to be consider for financial assistance you must complete the following steps:

  • Step 1 — Fill out request form below
  • Step 2 — Click SUBMIT.
    • IMPORTANT — Stay on this page until the form is done processing. You will receive an email confirmation, if it is submitted properly.
  • Step 3 — Email documentation for your request to gsp@lumserve.org

Your request will NOT BE REVIEWED until you submit the form and email the documentation.


No LUM Program applicant shall suffer discrimination due to his/her/their race, religion, national origin, sex, gender, age, marital status, parental status, physical ability, sexual orientation, gender identity, political association or belief, or union affiliation or activity.