Do you need help preventing eviction or utility shutoff?  Are you in jeopardy of losing your job due to a lack of reliable transportation?

Individuals and families with annual household income at or below 200% of the U.S. Department of Health and Human Services Federal Poverty Income Guideline ($36,620 for a household of three) may be eligible for one-time assistance to prevent or stabilize an emergency situation.  An experienced Self-Sufficiency Coach will work with you to assess the emergency, stabilize the situation and develop a plan to prevent future emergencies.

What type of help do you provide?

The focus of our Emergency Prevention and Stabilization program is to help income-eligible individuals and families in Bucks County overcome barriers (utility shutoff, eviction, lack of reliable transportation for work or job training) to self-sufficiency and limit future need for help. An experienced Self-Sufficiency Coach will work with you to assess the emergency, stabilize the situation and develop a plan to prevent future emergencies.

Will I have to pay anything?

Clients who receive financial assistance are required to submit relevant documentation proving need and contribute co-payment whenever possible to ensure a shared sense of responsibility.

How do I apply?

Call the nearest office for an assessment or complete the following assessment form and a member of the Bucks County Opportunity Council staff will contact you to schedule a face-to-face or phone interview.

• Quakertown Client Services – 215-536-0353
• Doylestown Client Services – 215-345-3295
• Bristol Client Services – 215-781-2661

First name: Middle initial:

Last name:

Street:

City: State: Zip:

Phone (daytime):

Phone (other):

Email:

Do you have an eviction notice? Select One Yes No

Do you have a utility shut-off notice? Select One Yes No

Do you have a source of income? Select One Yes No

Household size:

Household gross income for the most recent 30 days: $ .00

Call 215-781-2661 x403 if you have questions about the application: