Love INC of Cowlitz County Assistance Application

Referral Information
Part of our process is to talk with those who are familiar with your situation and can help us understand your needs better, such as family, case managers, church, landlord, or employer, depending upon the request.
A member of Love INC will be reaching out to you to do additional follow up on your situation personally. Please be expecting us to reach out.
I want to assure you that the information in this interview is confidential and will not be shared outside of the Love INC staff. The information will be used to help create a plan of action to begin working on goals and objectsyour current situation.
Thank you for taking the time to reach out and fill this form out.