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Household Support Grant Application Form

  1. Household Support Grant Application

    The City of Snohomish is offering Household Support Grants to qualifying residents to help meet needs associated with the ongoing effects of the COVID-19 pandemic. Up to $2,500 grants are available to help defray expenses such as rent, childcare, utilities, medical bills, car repair bills, or other household expenses per calendar year.

    The two principal eligibility criteria are:

    1. Must live within the Snohomish city limits (go to the City's property map to see if you are a resident) and
    2. The household must meet at least one of the following criteria:

    A. Earn no more than 60% of the Snohomish median income. The income break-down for household size is as follows:

  2. 60AMI
  3. B. Qualify for assistance under at least one of the listed programs from the US Department of Treasury Final Rule. The programs that pre-qualify a person are: 

    -Children’s Health Insurance Program (CHIP)

    -Childcare Subsidies through the Child Care and Development Fund (CCDF) Program

    -Medicaid

    -National Housing Trust Fund (HTF), for affordable housing programs only

    -Home Investment Partnerships Program (HOME), for affordable housing programs only

    -Temporary Assistance for Needy Families (TANF)

    -Supplemental Nutrition Assistance Program (SNAP)

    -Free and Reduced-Price Lunch (NSLP) and/or School Breakfast (SBP) programs

    -Medicare Part D Low-income Subsidies

    -Supplemental Security Income (SSI)

    -Head Start and/or Early Head Start

    -Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

    -Section 8 Vouchers

    -Low-Income Home Energy Assistance Program (LIHEAP)

    -Pell Grants

    If you and your household meet these criteria, please fill out the application request below. You will be contacted within approximately 10 business days by an employee with the City of Snohomish.

    City of Snohomish Household Support Grant application requests are processed in the order they are received. All fields are required in order to be considered for application.
  4. Please note all information below is required to request an application
  5. I confirm that my household is located with the City of Snohomish city limits. (Please note Household Grant Support is only for current City of Snohomish Residents). *
  6. Are you currently unemployed?*
  7. What types of bills would you like any grant monies to pay for?*

    If you are eligible, we may be able to provide up to $2,500 in grant money. What types of bills would you like any grant monies to pay for? Check all that apply.

  8. “This project was supported by a grant awarded by US Department of the Treasury. Points of view in this document are those of the author and do not necessarily represent the official position or policies of the US Department of the Treasury. Grant funds are administered by the Local Government Coronavirus Relief Fund thru the Washington State Department of Commerce.”
  9. Leave This Blank:

  10. This field is not part of the form submission.