Financial Assistance Request

Please Note – The online form is currently not available. Due to the increased volume of requests, you must make your request in person (M-F – 8:15AM).

  • For more information about the LUM Financial Assistance Program, click HERE.

When this form opens up again, it will ONLY be 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

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.