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Reminders before completing a funds request:

  • Make sure the vendor information is current and accurate.  This is your responsibility. 
  • You are responsible for making sure the monies are used as described.
  • Allow a minimum of 7 days between the date request is submitted and the date approval is needed.
  • Camp and Tutoring fund requests will require a completed evaluation.
First Name *
Last Name *
County of Court Case
Kinship or Foster Placement
If request includes multiple children, please include their details in additional information field at bottom.
Child Gender
Will DSS pay for this item/activity?
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *