United for ALICE

Assistance is available to those experiencing a loss of income due to COVID-19 Quarantines

1Income Validation

2Program Application

During the COVID-19 pandemic, ALICE (asset limited, income constrained, employed) families are being uniquely impacted. People who are working and typically able to survive on their budgets are experiencing a lapse in income during quarantines, either the employee themselves or their children. This program is designed to help bridge that gap and prevent families from getting behind on bills, which can cause a ripple effect. You may qualify if you have missed work due to a COVID-19 quarantine and fall within the ALICE income guidelines. See below:
Using the chart above identify the background color of the cell that represents your household.*
We are sorry, your household does not qualify for this program at this time.
There are programs that can help. Start by visiting 211nemichigan.org or by dialing 2-1-1 anytime 24/7.
We are sorry, your household does not qualify for this program at this time.
Some programs may be available to help, start by visiting 211nemichigan.org or by dialing 2-1-1 anytime 24/7

Date
MM slash DD slash YYYY
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Employer*
Documentation from this employer will be required to verify a loss or reduction of income.
Annual Household Income*
Household Size
Do you receive state or federal assistance?*
- Yes
- No
Example: cash assistance, SNAP, Medicaid, etc.
Have you been quarantined by the Health Department?
- Yes
- No
Has your child/ren been quarantined by the Health Department?*
- Yes
- No
If 'YES', what school do they attend?*
*MUST be located in BAY COUNTY
If 'YES', what grade are they in?*
Date of Quarantine*
MM slash DD slash YYYY
Length of Quarantine*
Please enter a number from 1 to 14.
File
Drop files here or
Max. file size: 128 MB.
Please upload notification letter from the school district and/or the Health Department that you received.