APPLICATION FOR RENT/UTILITIES/CREMATION ASSISTANCE
This application can be filled out on-line. We encourage you to type the Non-Medical application on-line and then print the application.
NOTICE: Once you begin filling out an application, you cannot leave that page or you will lose any information you’ve typed into the application. You CANNOT SAVE this information or the application on your computer. Once you complete the application and proof it for accuracy, print it and bring it with you to the interview.
- Fill out the application completely
- Proof it for accuracy
- Print and sign it
- Bring the completed application with you to the interview (no interviews will be granted without a completed application)
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INTERVIEWS are conducted only on Tuesday, Wednesday and Thursday beginning at 8:30 a.m. The last interview will begin at 3:00 p.m. on those days. Interview times are awarded on a first-come-first-served basis. We do not take appointments. Only 8 interviews each day will be conducted.
You CANNOT SUBMIT YOUR APPLICATION ON-LINE! You must print the completed application, sign it and bring it with you. Ada County Indigent Services is located at 252 E. Front St., Suite 199, Boise, Idaho 83702.
If you fill out the application in your own handwriting, please use black or blue ink. Applications filled out with pencil or ink color other than black or blue will not be accepted.
USE THIS APPLICATION ONLY FOR ASSISTANCE WITH BILLS FOR:
- Rent
- Heating oil
- Natural gas
- Electric Power
- Water Bills
- Indigent Deceased
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Click here to access the application form: