If you have not completed a client registration form in 2022, please complete the form HERE.
Please contact us at call 515-334-2684 or email Admin@UrbandaleNetwork.org to schedule an appointment.
You will be asked to provide documentation – your application is not complete until these documents have been submitted. All information requested on this application must be provided in order to be eligible for assistance:
- Photo IDs for all adults in the household and identification for all children (birth certificate, insurance card, or school ID)
- Proof of Urbandale residence. Must provide current address verification (e.g., current utility bill)
- Income limits apply. Total household income must be 175% or less of the federal poverty guidelines to qualify. Must provide income verification for all household members (past 30 days OR 2021 tax return).
Please contact UCAN with questions at Admin@UrbandaleNetwork.org