Soft Intake Application

Soft Intake Application

If you are seeking assistance with winter gear, clothing, medical, or bike needs, please fill out the form below. A Love INC staff member will reach out to you via phone or email within 1-2 business days to request additional information and discuss next steps.

Please note that we are NOT equipped for crisis situations and assistance takes a minimum of 3 days to process. If you need emergency assistance, please call 211 to be connected to the appropriate resources.

We are also only able to provide assistance to residents of Northeast Ottawa County, including Allendale, Coopersville, the west side of Standale, Marne, etc. If you live outside of this area, please call 211 to be referred to agencies and organizations in your area.

MM slash DD slash YYYY
Name(Required)
Address(Required)
Check all areas where assistance is needed.(Required)