Care and Assistance Request

At CrossLife, we believe no one should walk through a season of need alone. If you or your family are experiencing financial hardship, food insecurity, or another pressing need, our desire is to if and when we can.

This form helps us understand your situation so our care team can respond appropriately. We will try to respond to your request within 48 hours.

• CrossLife does not provide assistance with rent deposits, credit cards, late payment charges/back rent, dental/medical bills, tuition, attorney/legal fees, or cable bills.

• CrossLife does not allow checks to be picked up at the church unless it’s a special circumstance. All checks will be mailed out to the third party (Dominion, ACSA, or Property Manager for instance). Note: Please provide any documentation needed such as copy of a bill, etc.

• The name on the application MUST match the name on the bill to be paid.

Please know: completing this form does not guarantee assistance, but it allows us to begin a conversation and explore next steps together.