Eligibility Form

Step 1: Screen for conflicts and income eligibility

This form will be used to determine if you are eligible to apply for our services. If you are found eligible, our office will notify you with the next step.

All done? Get a jump-start on your application by collecting the Required Documents.

Check your status by visiting https://eligibilitylasslc.org/Status (requires an Application Number from the above Eligibility Form)