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General Assistance Pre-Screen Form

Please complete the following form to learn more about opportunities for General Assistance in Lucas County.

Please read our overview of the General Assistance program before submitting this pre-screen form. You'll find information on assistance that is and is not provided.

All fields are required to submit this form.

Pre-Screen Form

  1. Net Household Income This Past Month

  2. Miscellaneous

  3. Tax Information

  4. Reason for Assistance

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