You can stop in our office to fill out an application

-or-

click here to request the forms by email.

-or-

click here to download the Application for Assistance (as a Word document)

    or here to download the Application for Assistance (as a PDF file)

Completed forms can be dropped off in our office, mailed, faxed or emailed to us.

NOTE THAT OHP WILL NOT ACCEPT AN INCOMPLETE APPLICATION,

THAT INCLUDES MISSIING COPIES OF REQUESTED DOCUMENTS.