If you are in need, please take the time to explain the situation you are facing so that we can make the best decision as to the help we may be able to provide.

Please enter all of the information in the below form and attach the first page of your most recent 1040 tax return in order to complete your application for assistance. In addition, please attach any photos that may be helpful. All submissions and documentation shared with us will be used solely for the purpose of making a determination as to whether we can assist you or not and to what extent. All information you submit will be kept under strict confidence.

Thank you for your interest in our program.

Disclaimer: Hamptons Community Outreach (“HCO”) is a non-profit, 501(c)(3) charitable organization that provides limited goods and services such as crisis intervention, enrichment services and mental health support to underserved people living all over the East End of Long Island. Assistance is provided by HCO to those in need of help in a non-discriminatory manner, based upon certain criteria such as the needs of the applicants, the availability of resources and the ability of HCO to respond to the applicant’s request in a meaningful manner. The acceptance of applicants and the provision of goods and services is solely at the discretion of HCO, and HCO reserves to itself the right to decline applicants or deny the provision of goods and services as it deems fit given the circumstances presented.