General Assistance and CHRP Forms

General Assistance Forms

  1. GA application ELECTRONIC 032921
  2. Agency Release Electronic Rev
  3. Declaration Electronic
  4. Statement Of Purpose Electronic

Please send forms to: nburke@waukegantownship.com 

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CHRP Forms for Lake County:

Application Instructions and Checklist

CHRP Intake Packet

Authorization to Share Information

COVID Related Need Self Certification

Self Certification for Continued Assistance