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Human Services

  1. 2020-2021 JBC Semi-Annual Report Form
  2. 2021 Bridging THE Gap Application
  3. COVID-19 Rental and Utility Assistance Application
  4. General Assistance Healthcare Release Form
  5. General Assistance Required Action to Maintain Eligibility Agreement
  6. General Assistance Worksheet & Case Plan Signature
  7. Leadership Link #517 Membership Application

    Leadership Link #517 Membership Application

  1. 2020-2021 Juvenile Justice Prevention Fund (JJPF) Semi-Annual Report Form
  2. 2021 Keno HS Prevention Fund Semi-Annual Report

    Semi-Annual Reports are due July 31, 2021 and Jan 31, 2022.

  3. General Assistance Cremation Application

    Cremation Assistance Application for Lancaster County General Assistance

  4. General Assistance Re-Certification Form

    This form should only be submitted if you are currently approved for General Assistance and need to re-certify.

  5. General Assistance Screening Form

    This form will be used as a preliminary application. The full application will still need to be completed either with the assistance of... More…

  6. Juvenile Diversion Agreement Signature
  7. Project RESTORE Agreement Signature