Application for Emergency Financial Assistance

  • Financial ObligationAmount Due 
    Enter one obligation per line. Use the "+" symbol to the right to add another line.
  • Please email a picture of the following documents with your name to [email protected]

    • Proof of Nebraska residency (drivers license or state ID, etc)
    • Proof of citizenship or US residency (birth certificate, passport, green card, etc)
    • 2 paystubs or bank statements demonstrating income
    • A copy of bill(s) to be paid

    If you are unable to provide any of these documents, we will contact you to find alternative solutions.