General Assistance and CHRP Forms

General Assistance Forms

  1. GA Application Electronic
  2. Agency Release Electronic Rev
  3. Declaration Electronic
  4. Statement Of Purpose Electronic

Please send forms to: nburke@waukegantownship.com 

1_forms

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