Safford, AZ · Graham County
Give From The Heart Assistance Application
Safford residents can use this application to request monthly assistance applied to their City of Safford account through the Give From The Heart program.
What this form is
This application lets eligible Safford households request a monthly benefit applied to their City of Safford account. Applicants must be at least 62, meet the stated income limits, and have a current residential city account in their name. The form requests account and contact details, household members and income, public assistance information, proof of residency, identification, and income documentation for everyone in the household.
Who needs it
Safford residential customers aged 62 or older who meet the program’s income and eligibility criteria can apply for assistance.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; the signer certifies under penalties of perjury that the eligibility information is correct.
How to submit this form
- 1
Download The Application
Download the Give From The Heart Assistance Application.
- 2
Complete The Form
Print clearly and provide the requested account, household, income, contact, and public assistance information.
- 3
Gather Supporting Documents
Attach proof of income or assistance for everyone in the household, along with the identification and residency documents listed.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who can apply for Give From The Heart assistance?
- The form says applicants must be at least 62, have a current City of Safford residential account in their name, meet the listed income limits, and provide the required eligibility documents.
- What documents should I include with the application?
- The application asks for proof of income or assistance for everyone in the household, picture identification, proof of residency, and a Social Security card.
- Do I need a notary for the Give From The Heart application?
- No. The application is signed and dated without a notary; the signer certifies under penalties of perjury that the eligibility information is correct.
- How do I submit the Give From The Heart application?
- The application does not list a submission address or method. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Give From The Heart Assistance Application doesn’t need a notary — but if you have another Safford form that does, a commissioned online notary can help.