How to Apply

Who can apply

Children 18 years old and under, Adults 60 years old and over, and those on Social Security or Veterans Administration disability. Proof of disability is required. No exceptions

We use 250% Federal Poverty Income Guidelines. These are based on the Federal Poverty Guidelines as provided by the Federal Office of management and Budget for the previous calendar year.

How to apply

What to send

  • Proof of residency (current light bill with applicant’s name and address or other official proof)
  • Proof of income for all household members (recent pay stub, social services letter, copy of child support award)
  • Proof of disability (letter showing disability payments)
  • Proof of custody (court order or custody papers)

Failure to send all required information could cause a delay in processing your application.

APPLICATION DEADLINE

December 2nd,2022

You can pick up an application from

Free Clinic of Powhatan

                                                  Powhatan Public Library                                                

or download below

  2022 application

*Mail to Powhatan Christmas Mother

Attn. Applications

PO Box 461- Powhatan, VA 23139

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