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Apply For Yad Yehuda Assistance.

Please complete application below. All submissions are kept strictly confidential.

COVID-19 ASSISTANCE APPLICATION

Must include a Jewish communal leader that Yad Yehuda can contact to discuss your situation (Leaders of shul, school or non-profit organizations). All submissions are kept strictly confidential.

* Indicates required field

Applicant Name *

First

Last

Spouse (if applicable) *

Individuals in household *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Financial Snapshot

Previous Income *

Money In Bank Accounts *

Current Income *

Money Market & Savings *

Jewish Communual Leader *

Phone Number for Communal Leader *

Additional Comments *

Submit