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Apply for Financial Assistance

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Our financial assistance is limited to residents of 98109, 98119, and 98199. Can you confirm that you currently live in one of these 3 zip codes? *

Yes

Eligibility for financial assistance requires providing the first page of a current lease agreement.

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Monthly Rent *

Briefly describe how much financial assistance you need for rent or utilities *

What is your racial/ethnic identity (please select all that apply)? *

Black/African American Hispanic/Latino Asian American Indian/Alaska Native Pacific Islander/Hawaiian Native White/Caucasian

What is your gender identity? *

Male Female Non-binary Other

Do you identify as a person with one or more disabilities? *

Yes No

Select Age Range *

18 - 54 55 and older

Our services are limited to adults 18 and older.

My household includes dependent children under 18. *

Yes No

Please Upload First Page of Lease Agreement *

Max file size: 20MB

Submit

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Hours: Monday 10:00am - 2:00pm; Thursday 10:00am - 6:00pm. Call to schedule an appointment.
Hours above are for client services and donations. Appointments encouraged. Walk-ins subject to availability.
206.282.1540
311 W. McGraw St., Seattle, WA 98119
[email protected]
© Queen Anne Helpline. All rights reserved.

Home
Taste of Queen Anne
About
- Our Team
- Reports
Our Services
Get involved
Sponsors
Contact

Support Us

We're here to help

Apply for Financial Assistance

Join our email list for updates, volunteer opportunities, and more!