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Emergency Services Eligibility

Friendly House offers Emergency Support Services in Arizona.  The first step to fill out the form below. Once you fill out the contact form below, If you do not receive a phone call within 3 business days this means we were unable to schedule you for this week. We encourage you to call back the following week on Wednesday between 8 am - 12 pm. Phone number to call is 602-345-0167.
 

Eligibility Form

1. Have you received assistance from any other program/organization in the past 12 months?

2. What is the number of household members? 

3. What was the total income for all the adults in the past 30 days? (30 Day calendar date)

4. What is your emergency and why do you need assistance?
5. What type of assistance do you need?
6. Is the Utility bill/lease under your name?
Have you moved to Arizona in the last year?

Follow up: If you do not receive a phone call within 3 business days this means we were unable to schedule you for this week. We encourage you to call back the following week on Wednesday between 8 am - 12 pm. Phone number to call is 602-345-0167.

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