Integrated Family Community Services 3370 South Irving Street, Englewood, CO 80110-1816 Ph: 303-789-0501

IFCS Utility Bill Payment Assistance Application

IFCS Utility Bill Payment Assistance Form

Applicant Information

Address *
Have you previously received assistance? *

My household size is (Text Box/Drop Down) and monthly gross income is (Text Box/Drop Down).

Signature - By Clicking Yes, you are certifying your answers are true and complete to the best of your knowledge

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Key Sponsors

Integrated Family Community Services is a 501(c)3 non-profit organization.

Financial Accountability

IFCS’ Tax ID # 84-0579740