Financial Assistance Request

REQUEST FORM is closed until Monday, August 17.

Because of the large number of requests LUM has received for financial assistance this week, the request form has been temporarily closed. Once all of the current requests have been processed, the form will re-open. Please check back on Monday, August 17. Thanks for your patience and understanding.


Due to COVID-19, the LUM Office is closed for visitors. If you wish to request financial assistance during this time, you must complete the request form below. LUM staff members will review your request and call or email you. For more information about the LUM Good Samaritan 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.