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FINANCIAL ASSISTANCE APPLICATION

In order to use this online application to apply for financial assistance, you must have the ability to upload digital versions of the required proof of income forms. No paper applications will be accepted. If you are unable to supply digital copies or require assistance to complete this application, please make an appointment with our Janesville Member Services team to complete the application with the assistance of a team member 608-754-9622.
Do you have your paperwork available electronically? *