Thank you for your interest in applying for assistance. Each applicant seeking assistance must complete a full application (including submitting a non-refundable application fee of $350.00) and provide required supplemental form/documentation. Information in this application may be subject to public review under New York State Law, except for information that is considered deniable by the Freedom of Information Law.

Please mail the completed form along with a check to:
50 West Main Street
Suite 8100
Rochester, NY 14614


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