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Financial Assistance Application

Financial Assistance Application Instructions

Financial Assistance for is available to individuals and families who are experiencing an unexpected crisis and living in the following zip codes: 76036, 76123, 76132, 76133, 76134, and 76140.

Financial Assistance is available for electric, water, and gas bills and small amounts toward rent. In many situations, the applicant will need to be able to cover a portion of the bill.

Crowley House of Hope only assists with the current bill. Any past due amount will need to be paid prior to receiving Financial Assistance.


Please follow these steps to complete your application.
Please provide copies of the following documents along with your completed Financial Assistance application.

Fill out the application completely. Incomplete applications will not be considered.
Copy of applying adult’s identification
Copy of identification for each adult living in your home and a birth certificate for each child
Copy of your current electric or water bill
Copy of your lease agreement
Copy of government assistance award letter(s)
Copy of proof of income, can be one of the following:

Copy of documents that tell the story of your crisis. For example, receipts for unexpected car repairs or paycheck stubs showing a decrease in work hours.

Turn in this application and supporting documentation to Crowley House of Hope
200 N Magnolia Street
Crowley, Texas 76036

Families with complete applications will be contacted to discuss next steps.