CARES Relief Application

The CARES fund is designed to alleviate financial hardship for those households impacted by Coronavirus pandemic. Funds will be administered to households within the Cities of Woodbine and Kingsland, who have an outstanding mortgage payment, rental arrears and/or utility expenses from March 2020 to current.

Please complete all fields within this application that are applicable. Any field indicated by an asterisk (*) must be completed for the application to be considered. If NOT ABLE to upload documents, please call (912).882.7279 or email mfrancis2camdenconnection.org after finishing all possible questions, to schedule a drop off of forms.  A legible cellphone picture is acceptable. 

After completing the application, you will receive an email notification. 

Note that a $1,000 maximum assistance limit is imposed per eligible household for the first phase of program aid.  If a bill requested is above such limit, applicant should be able to prove the balance of the bill can be met through another source. 

**The household address must be within Kingsland or Woodbine City limits. It is possible to have a postal address market as "Woodbine" or "Kingsland" without being within city limits, we can verify this information upon review if unsure. Saint Marys and unincorporated Camden County household can apply, and will be stored in case either government begins participating in the program.**

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* 1. Name of Head of Household 

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* 2. Name of Applicant (If different then Head of Household) 

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* 3. Address

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* 4. Phone

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* 5. Email

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* 6. Gender (Head of Household)

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* 7. Race (Head of Household)

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* 8. Ethnicity (Head of Household)

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* 9. Assistance Type Request

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* 10. Number of household members

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* 11. Number of children in household

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* 12. Please upload a copy of your State-issued Identification (Head of Household)

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* 13. Please upload a copy of your Social Security Card (Head of Household)

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* 14. Please upload a Separation Notice/Proof of hardship due to Covid-19 (doctor's note, letter from employer stating decrease in hours/job loss)

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* 15. Please upload Proof of Loss of Income due to Covid-19 (pay stubs/ bank statement from before your hardship and pay stub/bank statement during your hardship)

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* 16. Please upload verification of current household earned income.

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* 17. Are you currently receiving, or have you received, unemployment during your COVID-19 related hardship?

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* 18. If you applied for unemployment, did you mark that it was COVID-19 related? If not, please state why. 
If you did note that it was COVID-19 related, was it granted? If so, how much income did you receive?

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* 19. If you are requesting assistance with mortgage/rent, please upload a copy of your Mortgage verification or Lease/Rental agreement

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* 20. If you are requesting assistance with mortgage/rent, please upload a copy of your Dispossessory Warrant/Notice to Vacate (please ensure total amount due is included). 

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* 21. If you are requesting assistance with an outstanding utility bill, please upload a copy of the bill here (please ensure total amount due is included). This should be for water, electricity or gas ONLY. 

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* 22. All assistance payments will be made directly to the utility provider and or mortgage/rental company (example, Georgia Power for energy bills, City of Kingsland for water bills). No funds will be distributed directly to individuals. Please list the agency/utility provider that the payment should be made, along with the full payment amount.*

 
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