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General Assistance Pre-Screen Form

Please complete the following form to learn more about opportunities for General Assistance.

Please read the overview of General Assistance in Pottawattamie County before submitting this pre-screen form. You'll find information on assistance that is and is not provided.

Pre-Screen Form

Required fields are marked with an asterisk (*).

  1. Net Household Income This Past Month

  2. Miscellaneous

  3. Tax Information

  4. Reason for Assistance

227 S 6th St.
Council Bluffs, IA 51501
(712) 328-5600
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