* Indicates required fields
Thank you! We will get back to you as soon as possible.

Eligibility Application Form

To ensure our resources reach those who need them most, SAAP follows a specific eligibility model. If you are a working resident of Franklin County with health insurance, please complete this form to begin the verification process. Once submitted, a member of our team will reach out to discuss your eligibility and next steps.

 

Please note: Enrollment is based on our current program capacity and available funding.

© 2026 Supporting Access and Assistance Program. All rights reserved.

Information icon

We need your consent to load the translations

We use a third-party service to translate the website content that may collect data about your activity. Please review the details in the privacy policy and accept the service to view the translations.