COVID-19 Income Loss

'County of Primary Residence' and 'Number of total household members' must be selected before options appear here.

Address / Contact Info

You will receive a summary of this application via email as well as a link to look up the status of your application at any time.

Household Members

Please provide the requested information for each member of your household (including children) even if there was no loss of income for each individual member.

Data for the first member provided below should be for the applicant and should match the data from the previously provided contact info.

Member 1
Member 1

Assistance Needed

Drop your file here or click to upload
File types accepted: doc, docx, pdf, xls, xlsx, jpg, or png; File size limit: 20MB
Drop your file here or click to upload
File types accepted: doc, docx, pdf, xls, xlsx, jpg, or png; File size limit: 20MB
This can include manufactured home or lot rent. Please enter dollar amount to the nearest whole dollar (e.g. $425).



















This amount is subject to verification and is not a guarantee of financial assistance.

Certification

I certify that the information presented in this application is true and accurate to the best of my knowledge and belief. I authorize the Iowa Finance Authority and participating agencies, to verify and investigate such information, including my legal status to be in the United States, with my full cooperation at any time. I understand that providing false, misleading or incomplete information may result in the application being declared void. I understand that it is a criminal violation under Iowa law to make a false statement in writing for the purpose of procuring assistance from a state agency.

I understand that all information submitted to IFA related to this application is subject to Iowa's Open Record Law (Iowa Code, Chapter 22).

Please enter your full name