One-Time Assistance Request Form

Arrowhead United Way Has Established an Emergency Relief Fund to Support those in the Arrowhead United Way Service Area** (click here for the list of cities we service) who are most vulnerable during the COVID-19 crisis. This fund will help support: low-income individuals and families at imminent risk of homelessness; the current IE population experiencing homelessness; low-income students; and our partner non-profits.


Funding for ONE-TIME financial assistance will be available BASED ON CONTRIBUTIONS RECEIVED. United Way is not able to guarantee funding beyond what is received in this fundraising effort.


To donate to the San Bernardino United COVID-19 Relief Fund, please click here.


IMPORANT: To request a ONE TIME payment assistance, please fill out the form below



***Please note: You MUST reside in a city within our service area to receive assistance.(click here for the list of cities we service


(Please be aware that we are experiencing a high volume of applications. Applying multiple times will NOT speed up the proccessing of your application and can cause a delay. Please allow up to 3 weeks from the date of submission for an Arrowhead United Way staff member to reach out to you.)

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Please visit our website at to view the cities that reside in our service area.
We know these are trying times, but unfortunately, because you do not reside in our service area we will not be able to provide you with assistance at this time. PLEASE NOTE: Applicants who submit an application but DO NOT reside in our service area will not be contacted. For additional resources please visit:
Please describe how the COVID-19 pandemic has caused you financial hardships. Feel free to share whatever information you think will be essential for us to know about your situation. If you need more space, please attach your story below
Please feel free to attach your story here
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml.
To help us better tell the story of the needs of our community, we have been asked to share stories from those facing need as a result of this pandemic. If you are okay with us sharing parts of your story anonymously, please let us know by selecting " yes" above.
I acknowledge that this is a ONE-TIME assistance from Arrowhead United Way and submission of your applications DOES NOT guarantee financial assistance.