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Request for Assistance City of Dallas in Denton County Only 

Metrocrest Services provides short-term emergency assistance to improve life situations of residents. The accuracy of information you provide will determine if and how promptly we can assist your family.

This application is ONLY for residents with a 75287 zip code that live in DENTON COUNTY.

If you are IN OTHER ZIP CODES in our service areas of ADDISON, CARROLLTON, COPPELL, or FARMERS BRANCH please click our 
website here to fill out our application form for those areas.


This application is ONLY for residents with a 75287 zip code that live in DENTON COUNTY.

If you are IN OTHER ZIP CODES in our service areas of ADDISON, CARROLLTON, COPPELL, or FARMERS BRANCH please click our 
website here to fill out our application form for those areas.




Contact Information


































Employment Information










Assistance



Household Members
Please list all persons living in the household whether related or not.











Metrocrest Services operates in accordance with the US Department of Agriculture and Texas Health and Human Services Commission policy, which prohibits discrimination on the basis of race, color, sex, age, disability, religion, political belief, or national origin. Social Security numbers are not required in order to receive food, rental, and utilities assistance. Metrocrest Services has my permission to exchange information regarding my circumstances with other Human Service Agencies. I understand that information on this form may be verified. I understand that inappropriate behavior may result in loss of services.

1. I am a member of the household living at the address provided and, on behalf of the household, I apply for USDA Foods that are distributed through The Emergency Food Assistance Program.  

2. All information provided to the agency determining my household’s eligibility is, to the best of my knowledge and belief, true and correct, and 

3. If applicable, the information provided by the household’s Authorized Representative is also, to the best of my knowledge and belief, true and correct.