At the Family Success Administration Division, we may assist with emergency financial assistance and other services if required qualifications are met. The. Office of Customer Service will complete a charge form, as applicable, for your signature and mail it to you at the address listed on the questionnaire.This rental assistance may cover rent beginning from April 2020 to what you currently owe for up to 12 months of payments. Along with the completed application, provide copies of: • Identification for all household members. (i.e. Our financial assistance program is available to uninsured patients who permanently reside within Broward Health's boundaries. Landlord can initiate application. Landlord will only complete 1 application – each tenant will be linked to that application. Court Records, Request Self Service Forms, Form Downloads, E-Filing, Contact Information, Central Courthouse, North Regional Courthouse. The application period is Monday, August 31 through Sunday, September 6, 2020, from 8AM to 10PM daily.