SMCAA Service Application

​

​

​

​

​

​

​

The following are documents MUST be included with your application. If you do not include all required documents, your application will not be processed. 

​

Please note: to allow proper time to process applications, we do not receive applications after 3:30 p.m.

​

• Proof of Identification: Social Security cards for all household members, birth certificates for infants under 12 months of age, documentation for all foster children in household, ID copy of head of household, AND a picture of head of household holding their ID

​

• Proof of Income: all earned income information for everyone 18 years and older who reside in household

​

• Proof of Emergency: copy of utility bill with total amount you are behind AND/OR copy of current lease/mortgage and letter from landlord with total amount you are behind on rent 

​​

If you do not include all required documents, your application will not be processed. For a full documentation list, click here.​​​​​​​

​​​

You can submit your completed application and supporting documents in a number of ways​

​

​​

​

​

​

• ​​Email:  lmills@smcaa.com​​

• Fax: 269-934-8242

• In-Person: Visit our Main Office in Benton Harbor

• Mailing Address:          185 E. Main St., Ste 303​

•                                                      Benton Harbor, MI 49022

• Drop-Off Box:           (Located on 3rd Floor)
                                           185 E. Main St., Ste 303

                                                  Benton Harbor, MI 49022

​

​​​​

​

​

​