Community Services Application for Assistance (PDF)

  • Before you return your printed form:
  • Did you sign & date the application?
  • Did you attach a copy of the bill you wish to be considered for payment?
  • Did you enclose the name & address of your landlord (if you are applying for rental assistance)?

Fold the form over, fasten and return to the Community Social Services Office located at 315 N Main St, Allison, IA or attach postage and drop it in the mail. If you have questions call: 319.267.2663 or 800.873.0191