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?”
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. 1. Using the chart below as a gauge, please have available in electronic form the documents noted below. Although NOT REQUIRED for submission,  doing so will help expedite the processing of your application. Proof of Identity is required for all assistance types.

Assistance Type	Documents	Documents
1. Rent	Proof of Income	Copy of Lease
2. Utilities	Proof of Income	Copy of Utility Bill
3. Work Assist	Employment Letter	Pay Stub
4. Treatment	Letter from Provider

Supplemental documents can be submitted in any electronic form including pdf and txt formats.