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Assistance Forms

We have three different assistance forms. Please explore the different forms to see which would be more relevant to the resources you are seeking,

Assistance Forms

Basic Needs Assistance Form

If you are a UC San Diego student who is facing challenges with your access to adequate food, stable housing, or general financial resources, you're encouraged to complete this form. This form will be assessed to provide individual resource suggestions and options to meet with supportive staff for a Basic Needs Consultation. Your personalized consultation appointment with staff will provide an opportunity for you to discuss current resources you are seeking and receive advisement as to what may be available to you.

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CalFresh Assistance Form

If you have any questions about CalFresh Eligibility or need assistance with your CalFresh application, please use this form.

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COVID-19 Special Relief Fund Request Form

Complete this form if you if you are experiencing a financial crisis either related to loss of wages or other financial need impacts. If you have experienced financial impacts due to lost wages in particular, we recommend you also contact your employer regarding possible income options including remote work availability/paid administrative leave/un-used Federal Work Study hours described in campus communications. All form submissions will be received, saved, and assessed based on submission date, and we will circle back with a follow up determination.

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PERSONAL HYGIENE PRODUCT FORM

Do you need personal hygiene products? Fill out this Google Form to request items you may need, and to set up a pick-up time to retrieve your items from The Hub Basic Needs Center!

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