Qualifications:

	Check if Yes
Have you or an immediate family member been an offender or a victim in Martin, Okeechobee, Indian River or St. Lucie county within the past 3 years?
Do you have an existing dependency case in Martin, Okeechobee, Indian River or St. Lucie county?

 Electronic Forms Submission:            
Please read the following instructions before proceeding with your application.

The following documents are required to be submitted as attachments to your application.
Documents can be submitted in any electronic form including pdf and txt formats.
Failure to attach these required documents will void your application.

1. Housing/Rent      Copy of ID    Proof of Income    Copy of Lease
2. Utility Deposit    Copy of ID    Proof of Income    Deposit Letter from Utility Provider