Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Eligibility Meeting eligibility requirements does not guarantee assistance. Assistance is subject to available funding and determination that the applicant is experiencing a qualifying temporary hardship. Please select the option that best describes your military connection: *Veteran who received an honorable dischargeCurrently serving on active dutyImmediate family member of a service member or Veteran and eligible for military benefitsNone of the aboveDo you currently live in Florida and have you lived in Florida for at least 120 consecutive days? *YesNo recent, to financial Before your current hardship, was your household generally able to manage monthly expenses and meet basic financial obligations (such as housing, utilities, and food)? *YesNoAre you currently experiencing a recent, unexpected event that has caused a temporary financial hardship? *YesNo(Examples may include job loss, medical emergency, accident, natural disaster, or similar event.)I certify that the information provided is true and accurate to the best of my knowledge. I understand that meeting eligibility requirements does not guarantee assistance and that all applications are reviewed based on individual circumstances and available funding. *I agreeI do not agreeCheck Eligibility