Community Assistance

A place to ask.
A heart to listen.

WOV Women Helping Women, Inc. offers temporary, needs-based assistance to people living in the United States.

Community Assistance Application

WOV reviews each request individually based on need, available resources, and supporting documentation. Submitting an application does not guarantee assistance. Approved assistance is paid directly to a verified service provider, such as a utility company, landlord, or pharmacy. WOV does not issue cash or checks to applicants. WOV verifies the provider and expense before payment and obtains a receipt for its records.

Complete this form online and select Submit Assistance Request. No printing or scanning is needed. Fields marked “required” must be completed.

Before you begin

This assistance program serves people living in the United States. A physical residential address is required; P.O. boxes are not accepted. All requests are reviewed and verified before assistance can be approved.

I live in the United States and am requesting assistance for a need within the United States. (required)

1. Your contact informationFull name (required)Physical residential address — no P.O. boxes (required)

Enter the physical address where you live. P.O. boxes are not accepted.

City (required)State / U.S. territory (required)ZIP code (required)Phone number (required)Email address (required)Preferred contact method (required)

Include a phone number where we can reach you. Your preferred contact method tells us how you would like us to follow up.

2. Your householdNumber of adults (required)Number of children (required)Employment status (required)Gross monthly household income in USD (required)

Enter the total income received by all household members during the past 30 days, before taxes and deductions. Enter 0 if your household received no income. WOV may request documentation to verify income or a statement explaining no income during review.

3. Assistance requested

Select at least one type of assistance. You may select more than one.

Other assistance details (required if Other is selected)

4. Tell us about your needHow would this assistance help? (required)

Briefly explain your situation and the support you need. Share only details relevant to your request. Please leave out Social Security numbers, account numbers, and detailed medical information.

5. Provider and amount requested

WOV pays approved assistance directly to a verified provider. No funds are paid to the applicant. Provide the company, landlord, or pharmacy details so WOV can contact them directly to verify the expense.

Company / landlord / provider name (required)Provider phone number (required)Amount requested in USD (required)

If account or payment details are needed, the WOV team will contact you during review. Do not enter those details in this form.

6. Supporting documentation

Select the documents you have available, or indicate that you need help identifying them. You do not need to upload them to submit this form. WOV will follow up about any documents needed for review.

Do not submit photo ID or supporting documents through this form.

7. Your acknowledgmentI certify that the information provided is true and complete to the best of my knowledge. I understand that WOV Women Helping Women, Inc. may verify submitted information and contact service providers for verification. I understand that submitting this application does not guarantee assistance, and that any approved payment goes directly to a verified service provider, not to me. (required)Type your full name to confirm (required)Date (required)

Send your application to WOV

Your application will be emailed to wovwomenhelpingwomen@gmail.com using FormSubmit, the email delivery service. FormSubmit retains submissions for 30 days. Delivery service privacy policy.

I understand how my application will be sent and agree to submit it to WOV for review. (required)

Please complete any verification shown after you submit.

A place to ask.A heart to listen.

Community Assistance Application

Send your application to WOV

A place to ask.
A heart to listen.