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NCHS Coronavirus Aid, Relief, and Economic Security (CARES) Application

If you have any trouble completing the form, please call 402.206.4109 or email

The CARES Act funds may be used to cover:

  • Rent/Mortgage to help cover overdue or mortgage to avoid eviction or foreclosure.
  • Food
  • Utilities
  • Medical expenses
  • Transportation expenses

To qualify, household income must be under the following amounts:

Persons in
1 2 3 4 5 6 7 8
Moderate (100%)
Income Limits ($)
$60,900 $69,600 $78,300 $87,000 $93,950 $100,900 $107,900 $114,850

A qualifying applicant must have needs in at least one of the following categories:

  1. Loss of employment due to changes in the workplace caused by COVID-19.
  2. Loss of income due to illness specific to COVID-19, of either self or a family member.
  3. Loss of income due to a loss or reduction in unemployment benefits.
  4. Lack of income for one of the following reasons:
    • Inability to stay current with rent or mortgage payment causing a risk of eviction or homelessness
    • Inability to stay current paying utility bills causing risk of shut off
    • Inability to access necessary resources such as telehealth for medical or behavioral health due to lack of technology – either smartphone or tablet
    • Inability of adults or children to receive online education or training due to lack of technology
    • Inability to maintain enough food or necessities for the individual or family
    • Short-term financial assistance
    • Lack of essential items (food, clothing, shelter)
    • Experiencing COVID-19 related unemployment
    • Experiencing poverty
    • Facing mental health or substance abuse issues
    • Experiencing language barriers
    • Isolated or limited access to services in remote areas of the state

To qualify for CARES funding, the individual requesting assistance must meet the following criteria:

  • U.S Citizen or a Legal Permanent Resident
  • Resident of Nebraska impacted by COVID-19

*Supporting documentation must be provided to verify eligibility

What happens after an application is submitted?

An NCHS staff member will review the application and respond to you within three business days to gather more information and provide you with information on the next steps.

NOTE: Submission of an application does not guarantee approval for CARES funds.

This project or activity was supported by funding from the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) from the U.S. Department of Treasury and the Nebraska Department of Health and Human Services, CFDA Number 21.019.”

Funding from the CARES Act supports services to families and individuals whose lives have been directly or indirectly impacted by the COVID-19 pandemic. To apply for financial assistance, please complete the form below.

Applications will be accepted on an ongoing basis and assistance will be provided to eligible applicants on a first come, first ready to proceed basis until all funds have been exhausted. Funds will not be held for incomplete applications.


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COVID-19 has changed the way we are serving families, but we continue to serve.Learn more about our response and how you can help.