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To print our applications you need Adobe or another .pdf reader.  Get Adobe Reader (free software download)

Step 2.  Select a Basic Application

Select and print an application (opens .pdf format file in new window).

I have chosen a basic application and am ready to move on!

Go toStep 3.  Select the kind of assistance that you need.

Disclaimer:  Submitting an application is not a promise or guarantee by IPump.org, Inc. that an applicant will be approved.  Our ability to help others is restricted by available program funding at any give time.  Applications are reviewed by IPump.org's Program Director and approved by the board of directors based upon eligibility, need and individual program funding available.  We offer no promises or guarantee that we can meet the needs of all applicants but we try to help as best we can.

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Recommended reading before you apply

About our assistance programs

What type of assistance does IPump offer?

Frequently Asked Questions

Apply for Assistance

Steps to apply

Step 1.  Eligibility test
Step 2.  Select application
Step 3.  Select assistance
Step 4.  Print our check list
Step 5.  Mail application

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Please click here for important information!

IPump.org, Inc. is a tax-exempt, 501(c)(3) public charity.  Your financial support and in-kind donations are tax deductible.