Mar 26, 2024

Tornado Disaster Relief

 

Mercer County Job and Family Services may be able to provide assistance to Mercer County residents who were adversely affected by the March 14, 2024 tornado.

 

Families must have a minor child in the home or a current child support order for a minor child and be below 200% Federal Poverty Level FPL

Up to $2000 disaster assistance

For households that do not include a minor child,

Individuals age 55 or older or

Disabled Individuals (in receipt of Social Security Income, Social Security Disability, Veterans Administration Disability, etc)

And be below 200% Federal Poverty Level FPL

Up to $1000 disaster assistance

200% FPL for household of 1 $2430 monthly

2 $3287 monthly

3 $4144 monthly

4 $5000 monthly

Applications will be taken from March 27, 2024 through

the end of business day on April 9, 2024.

 

Please stop in our office to complete and submit an application at:

220 W Livingston Street Suite 10, Celina OH 45822 Phone 419.586.5106

Monday and Wednesday 8 to 4:30, Tuesday and Thursday 8 to 4, Friday 8 to 3

Contact Elizabeth Rinderle at 567.510.4374 or Elizabeth.Rinderle@jfs.ohio.gov

to have the application mailed or emailed to you

Sample Application:

 

Mercer County Prevention, Retention and Contingency Program (PRC) Application

 

March 14, 2024 Tornado Disaster Services

 

 

 

Name of Applicant:     Phone # where you may be reached:

Affected Address – street, city, zip

 

Explain your loss: __________________________________________________________________________________________________

 

 

 

__________________________________________________________________________________________________

 

Please circle all needs that apply:

 

Food Shelter Clothing Transportation Cleaning Supplies Personal Hygiene Items

 

Other: ____________________________________________________________________________________________

 

Complete all sections below for everyone living in your home, including yourself.

 

Include all income received in the last 30 days

 

Name	Relationship to Applicant	Date of Birth	Social Security #	Monthly Income	Source of Income
1.
2.
3.
4.
5.
6.

 

 

 

Indicate if any of the following statements apply to you or anyone in your household:

 

Yes No

 

0 0 Has an outstanding ADC, TANF, OWF or PRC IPV fraud balance anywhere in the United States?

 

0 0 Is an alien not permitted for permanent residence?

 

0 0 Is a fugitive felon or violating parole?

 

• - - - - - - - - - - - - - -

 

My signature means that I have answered all of the questions on this application accurately and in a truthful manner. I understand that if I have not answered truthfully and receive assistance, I am guilty of fraud and could be prosecuted and will be required to repay any assistance I receive. I understand that if I am eligible, the agency will limit assistance under this program to the actual documented amount of need. I understand and agree that MCJFS may contact other persons or organizations to obtain the necessary proof of my eligibility for this program and the level of assistance I am eligible for.

 

 

 

______________________________________________________ __________________________

 

Applicant Signature Date
Parent/Guardian/Custodian Voter Registration Option: Are you registered to vote? Yes or No If you are not registered, do you wish to register? Yes or No If you wish to register, do you require assistance? Yes or No