Application for Assistance

  • Download then OPEN the PDF document below
  • Complete the interactive application by typing in the fields then SAVE
  • Scan bills and any additional information (include remittance name and address on each bill)
  • Email ALL documents to: sjeffreys@justkeepsmiling.org

**Please allow a 2 week turn-around in request approval and payment of bills.

Download PDF File

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Blessed be … God of all comfort, who comforts us in all our affliction, so that we may be able to comfort those who are in any affliction, with the comfort with which we ourselves are comforted.

-2 Corinthians 1:3-4