Stability Grant Application

For Housing Assistance for Households with Disabilities or Vulnerable Members

Section 1: Applicant Information

Must be Dane County
$

Section 2: Eligibility Verification

Check all that apply:

Proof Required:
  • For disability: Attach doctor/social worker note (or provide contact for verification)
  • For vulnerability: Explain situation in Section 4

Section 3: Housing Need

Requesting assistance for:

Documentation Attached (required):

Section 4: Short Statement of Need

Maximum 200 words

Section 5: Consent & Submission

Bot Protection

1 + 2 = ?