Make a Funding Request

Instructions:  Funding Request Form must be completed before request is presented at a Service Integration meeting.  If you have questions about a request or need assistance, please contact Service Integration (fco.service.integration@co.polk.or.us).

Please note:  If this request is for an urgent need (rent or utility assistance) please contact (or have the family contact) the Polk County Community Resource Center at (503) 751-1644

The Service Integration Online Funding Request form is intended for community partners and service providers only.  

If you are needing assistance with a personal need or request please contact the Polk County Resource Center at (503) 751-1644