United Way of Guernsey County COVID-19 Relief Application

This application is only for residents of Guernsey, Monroe and Noble Counties.

Residents of Noble County can contact United Way directly at 740-439-2667 or Noble County EMA at 740-732-7387.

Residents of Monroe County can contact United Way directly at 740-439-2667.

Name of Organization (if applicable)
EIN # (if applicable)
Person Submitting Request *
Number of People in Household *
Contact Information (address) *
Contact Information (phone number) *
Email Address *
Date / Time *
Requested Amount and When Needed *
How were you negatively affected and how will funds be used to combat the spread or negative impact of COVID-19 *
Have you requested/received funds from anyone else? If so, who *

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