Collier County, FL
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Forms for general human services
Community & Human Services (CHS) manages Disaster Assistance Programs, the RSVP Volunteer Program and Human Services such as prescription reimbursements, and Services for Seniors which includes Emergency Home Energy Assistance.
Below are forms that may be of assistance in expediting the process:
Human Services Forms for Assistance
- Application for Prescription Assistance - a form for in need individuals seeking help to pay for medications. Click here for more information Medical & Prescription Intake Application Package
- Emergency Home Energy Assistance Program (EHEAP) - Click here for more information EHEAP APPLICATION PACKET JULY 2024
- Indigent Cremation Assistance - Collier County Human Services provides cremations for homeless and low-income citizens who cannot afford for the final disposition of a relative. Click here for more information CREMATION COLLIER COUNTY INTAKE FORM
RSVP Volunteer Forms
- RSVP Volunteer Application - a form for interested individuals to fill out to become volunteers
Disaster Assistance Programs (Hurricane Ian, Hurricane Debby, or Invest 90L)
- Homeowners and/or Flood Insurance - Individuals and families who need help purchasing homeowners or flood insurance who have had a financial loss due to one of the declared emergencies. Click here to apply: Insurance Policy Application
- Mortgage Payments - Residents must have had a financial loss due to the declared emergency and continue to hold a mortgage for this residence. Click here to apply: Mortgage Application
- Rental Assistance - Applicants must be able to demonstrate a direct housing or financial impact from a declared disaster. Click here to apply: Rental Application
Impact Fee Deferral Program - Click here for more information and the application Impact Fee Deferral Application 2024