Forms & Resources
FORMS
Application for General Assistance (Online)
Application for General Assistance (Printable)
Appeal Form (Online)
- If appealing a decision made prior to November 27th, 2023, please call Polk County General Assistance for further assistance (515) 286-2088
Cremation Application
Employer Verification
Interview Checklist
Medical Incapacity Statement
Privacy Notice
Proxy Authorization
QUICK LINKS
General Assistance Program Manual
General Assistance Income Guidelines
RESOURCES
Community Resource List
Financial Empowerment Center - Free one-on-one financial counseling for Polk County residents.