CLIENT INTAKE FORM
Love INC Nacogdoches serves residents of Nacogdoches County
BEFORE PRESSING 'SUBMIT" ABOVE, Please be sure your name, phone #, email address, and other contact information is correct.
We will contact you within 7 to 10 business days.
Love In the Name of Christ of Nacogdoches
We will need copies of some documents in order to process your request/s.
Copy of Photo ID for all adults in the household
Copies of all household income including any benefits received (check stubs, SNAP, Child Support, Housing, etc.)
Copy of lease with your name, amount, and landlord's name and contact info - if applying for rent ONLY DUE TO COVID-19
Copy of mortgage statement from lender and recent tax statement - if applying for mortgage ONLY DUE TO COVID-19
Copy of utility bill in your name - WATER ONLY - you must apply with GETCAP for assistance with an electric or gas bill
For ALL requests you will need to provide copies of Photo ID and verification of all household income.
Depending on what you are requesting assistance with, you may be asked to provide additional documentation as well. We will contact you after reviewing your application with instructions and further information for submitting backup documentation.
PLEASE ALLOW 7 to 10 BUSINESS DAYS TO PROCESS APPLICATIONS ONCE WE HAVE RECEIVED ALL DOCUMENTATION.