Polk County General Assistance Application Process

If your family is applying for assistance from Polk County, the following forms will need to be completed and submitted: Polk County General Assistance Application and the Vital Statistics Form. Once Hamilton’s has received these completed forms from you, your funeral director will complete the request for assistance on your behalf. If you have any questions while completing these forms, be sure to contact Hamilton’s (515) 243-5221.

NOTE: Once you have completed each form, you will need to save them to your device to upload below.

Polk County General Assistance Application

Vital Statistics Form

Your Name