Request
Personal Information
Employment InformatIon
Other Assistance
Incomplete applications including missing attachments will not be considered.
Monthly Expenses
Monthly Income
Assets
Liabilities
IMPORTANT APPLICANT INFORMATION
The Operation Round-Up Trust Board meets in January, March, May, July, September and November. Applications must be received at Coweta-Fayette EMC by the 20th day of the month before the meeting. Example, June 20 is the deadline for the July meeting, etc.
Please follow instructions on the application carefully and include ALL information requested
Notification: You will be notified by mail of the Board’s decision on the request.
Individual/Family applications
Personal statement - written detailed description (on separate sheet) of the circumstances that prompted this request and how the funds will be used.
Include letters from doctors about medical condition(s) if information supports your request.
Must include 3 months proof of Income (Check Stub, Social Security/SSI/Food Stamp Statement)
Applicants requesting assistance with household bills must provide a Budget Action Plan from Consumer
Credit Counseling Service (1-800-251-2227) before the Trust Board will review the application.
If renting, include lease agreement and name, address and phone number of landlord.
Include copies of all monthly bills, invoices or statements as well as copies of bids/estimates, etc.
Requests to pay just a utility bill (electric, gas, etc.) will NOT be considered.
Mailing Address
Coweta-Fayette EMC
807 Collinsworth Road
Palmetto, GA 30268
Application can be dropped off at any of our offices:
Newnan Office: 192 Temple Ave, Newnan, Georgia
Fayette Office: 103 Summer Road, Fayetteville, Georgia
Palmetto Office: 807 Collinsworth Road, Palmetto, Georgia