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Catholic Charities Boston
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Adult Education & Workforce Development

Emergency Living Assistance

Finding Stability Through Crisis

We help families in crisis find stability and rebuild their lives by providing emergency fuel, rental, and utility assistance. Priority is giving to clients who:

  • Have received utility shut-off notices or court summons for eviction
  • Live in public housing and have been served with a notice to quit letter from the property manager, property attorney, or constable
  • Are in need of emergency fuel assistance
  • Need to move due to safety or emergency reasons (i.e., domestic violence, moving from shelter to stable housing, etc.)

For potential assistance, please fill out and submit the form below as accurately as possible.

Emergency Living Assistance

Due to occasional technical delays, you may not immediately see a confirmation after submitting this form.

Please do not resubmit the form again, as this may result in duplicate requests.

If you’re unsure whether your submission was received, please contact us info@ccab.org for confirmation.
We are working to resolve this issue as quickly as possible and appreciate your patience.

Name(Required)
Email(Required)
Date of Birth(Required)
Veteran(Required)
Family Composition(Required)
(Everyone Living in the house)
First Name
Last Name
Race
Gender
DOB
Relationship to HOH
 

Sources of Income:

Include ($) amount everyone's income in the household over the age of 18. Please fill out all sections. (Type N/A if not applicable.)
How much do you receive monthly from employment.
How much do you receive monthly from unemployment.
How much do you receive monthly from Food Stamps.
How much do you receive monthly from Child Support.
How much do you receive monthly from SS Disability.
How much do you receive monthly from your Pension.
How much do you receive monthly from your SSP.
How much do you receive monthly from your SSI.
Please specify any other sources of income.
Please specify any other sources of income.

MONTHLY EXPENSES

Only include ($) amount of monthly expenses - Enter an ($) amount representing your monthly expenses, not the amount owed. Monthly expenses should include everyone over 18's expenses in the household. Please fill out all sections and type N/A if not applicable
How much do you spend monthly on Rent/Mortgage?
How much do you spend monthly on Rental Insurance?
How much do you spend monthly on Utilities?
How much do you spend monthly on Vehicle Loans?
How much do you spend monthly on Vehicle Insurance?
How much do you spend monthly on Health Insurance?
How much do you spend monthly on Legal Fees?
How much do you spend monthly on Transportation
How much do you spend monthly on Groceries?
How much do you spend monthly on Telephone?
How much do you spend monthly on Internet?
How much do you spend monthly on Cable?
How much do you spend monthly on Day Care?
How much do you spend monthly on Clothing?
How much do you spend monthly on Credit Cards?
How much do you spend monthly on Other things?(specify)
How much do you spend monthly on Other things?(specify)
How much do you spend monthly on Other things?(specify)
SERVICES REQUESTED(Required)

Please explain why assistance is required currently. Please indicate the event that caused this request. Please give as much details as you can.
Would you be willing to participate in an anonymous interview with Catholic Charities Marketing and Communications Department?
Would you be willing to participate in an anonymous interview with Catholic Charities Marketing and Communications Department?(Required)
Max. file size: 128 MB.

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