CSBG Emergency Services Program
does NOT offer weatherization assistance. For Energy Assistance, please contact your county Health & Human Service Departments.

Community Service Block Grant (CSBG)
Emergency Services Program

CSBG can assist qualifying individuals with past-due payments including mortgage payments, rent, security deposits, utilities, cell phones/phone cards, auto repairs, and more. This program serves Burnett, Clark, Rusk, Sawyer, Taylor, and Washburn Counties.

Click HERE to see if your household is at or below 125% Federal Poverty Level, you may meet the income requirements and qualify!

You must fully complete all SIX forms in the box below.

CSBG Program Guide 2026

CSBG Agreement Form

CSBG Application

Intake Form

Self-Generated Income Form

Zero Income Form

Referral Form

  • Proof of income for anyone over the age of 18 in the household via either: One month of pay stubs
    SSI or SSDI award letter
    Any child support received
  • Copies of the PAST DUE bills that you are in need of assistance with. 
  • For assistance with rent, we will need a copy of your lease and a statement of the amount that is past due or eviction.
  • For assistance with your mortgage, we will need a copy of your mortgage statement and the amount past due. *The amount must be TWO months past due to qualify.
  • If you are looking for a gas voucher must be needed for employment purposes ONLY.
  • If you need vehicle repair must have an estimate from an auto repair shop and have proof of ownership with mileage.

CSBG funds are provided based on household eligibility and the type of need. Assistance is awarded on a first‑come, first‑served basis to eligible households that submit all required documentation, as funding remains available.

If you are interested in receiving assistance, please complete the six (6) forms, follow the instructions to fill out, and email your information to

allison.anderson@indianheadcaa.org or aryn.sather@indianheadcaa.org


If you do not have access to email, forms can be returned to the main ICAA offices during business hours.

If you are interested in receiving assistance or have questions, please call
Allison at 715-532-1640 or Aryn at 715-230-0726

This Emergency Services Program is fully funded by a grant award totaling $219,097.27 (100%) from the US Department of Health and Human Services.