Good Neighbor Fund – Tri-County Health Network

IMPORTANT UPDATE: The Good Neighbor Fund is currently out of funds until January 1, 2025.

Good Neighbor Fund (GNF)
To be eligible for consideration, applicants must currently live or work in San Miguel County, or the West End of Montrose County and have done so for the past two years; demonstrate that they have exhausted all other resources; show that they can maintain financial stability outside this non-recurring and unexpected crisis to remain living in the defined region; and have not received a GNF grant in the past 365 days.

Please Review the Qualification Criteria

Download an Application

Please download an application by clicking on one of the links below. Once you download it on your computer you will need to open it in Adobe Reader (To get the free desktop app please click HERE. For the free mobile app please click HERE).

Please fill out the application on your computer, and save the file with your name and the date you submit it included in the file name. Upload it to us in the Upload Documents section below. Click on Choose File, and select the file you created on your computer using the Adobe Reader application.

Upload Documents

*** Each file must be either .pdf, .doc, or .docx with a maximum file size of 2MB ***

Upload Completed Application Here

Upload Proof of Employment Here (Paystubs, offer letter, etc.)

Upload Copy of Lease Agreement or Mortgage Statement Here

Upload Copies of All Financial Bills Here (Car, electricity, insurance etc.)

Bill 1

Bill 2

Bill 3

Bill 4

Bill 5

Bill 6

Contact Information

First Name*

Last Name*

Phone/Cell (Format: 123-456-7890)*

Email*

Today's Date*

How did you hear about this fund?*

Please tell us how you heard about this fund.

Please specify:

Release of Information Consent
By submiting this application, I understand that my information may include protected health information. I authorize the release of my information to any person or agency necessary to meet my service needs, including, but not limited to, vendors and partner agencies. This information will be used solely for the purpose of assessing, arranging, and meeting my individual service needs. I release Tri-County Health Network and its partners from any liability related to the sharing of this information.

If you get a message that says, "There was an error trying to send your message. Please try again later," just click "Submit" again.

If you continue to get an error message, please call (970.708.7096) M-F 8 -5 for assistance.