COVID-19 ASSISTANCEApply for COVID-19 assistance Guidelines for approval of assistance through the COVID-19 Emergency FundNon-essential bills such as cable or payday loans do not qualify. Please contact the United Way office first to find out what type of requests can be processed.Payments are issued directly to vendors - applicants do not receive payments, and vendors must be willing to accept our form of available payment options. This will determine if an application can be processed, and you will be contacted if an issue occurs. It is best for you to first contact your vendor (landlord, mortgage company, utility company, etc.) to verify if they can accept a VISA payment over the phone or a mailed check which goes out on the 15th or 30th of each month.Applicants who qualify can only be assisted one time through the United Way COVID-19 Emergency Fund.The available amount for each request is capped based on availability of funds, and typically we can’t cover an entire bill for the rent, mortgage, or utility. Other needs are reviewed on a case-by-case basis.Verification Do you acknowledge that you already called 2-1-1 for resources?Consent* YesDo you give permission to the United Way of Bay County (Michigan) to use your information relevant to this application to contact past or present employers and relevant agencies? All information provided is only used to determine eligibility of your request and is kept confidential.Signature* If you need any assistance with this application or have any general questions about covid financial assistance, please contact Archie at 893-7508 ext. 12.Date* MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Home/Personal Cell Phone*Work Phone*Martial Status*MarriedSingleDivorcedSeparatedOtherList ALL who live in your household (Click the plus sign to add more)*Complete NameDate of Birth (MM/DD/YYYY)Relationship to You Explain in detail below how are your finances impacted by Covid-19 crisis*Monthly Income and ExpensesPresent or Previous EmployerPresent or Previous Employer Phone NumberAmount of Income per monthWagesChild Support & AlimonyEarning of other adults in householdVeterans BenefitsUnemployment InsuranceSNAP (Food Stamps)TANFSSIPensionAverage Expenses per monthMonthly Rent/MortgageMonthly Utilities (heat, electric, water, etc.)Car Payment(s)Car InsuranceChildcarePhone (all in family)Cable/InternetFoodGas/TransportationMedical ExpensesOtherPlease include the following documents with your application.* Drop files here or Select filesMax. file size: 128 MB, Max. files: 10.1) Copy of ID (with address in Bay County) 2) Proof of income for all parties living with applicant in the past 30 days 3) Monetary Determination Letter 4) Copy of bill & account number you are requesting assistance with (bills cannot be over 30 days behind to qualify) 5) List of other agencies you are requesting assistance from 6) DHHS Case Notification Letter with Case Number if applying for Emergency AssistanceCOVID-19 QUICKLINKS Help with Bills Quarantined Student Help Volunteer Now 211 NE Michigan Reopen Bay County Bay County Health Dept.
