Financial Assistance

Helping families in crisis.

Society of Samaritans

SOS Financial Assistance


Please carefully review the Financial Assistance Checklist and provide all listed documents with your Application and Release forms. Please be sure to complete the Additional Household Members form for each other member of the household (two people on each page). Email all documents to [email protected] and we will respond to you within 48 hours.

If you're not able to complete the forms online, please come into our office to fill out the forms. Our office is open Monday to Friday, 10 am to 2 pm at 31355 Friendship Drive, Magnolia, TX.

Financial Application Checklist

Client Application and Release Form

STOP and read these instructions:

Please fill out this form on your device, and then save it onto the device. To send it to us, please attach the saved file onto your email addressed to [email protected]


Additional Household Members

STOP and read these instructions:

Please fill out this form on your device, and then save it onto the device. To send it to us, please attach the saved file onto your email addressed to [email protected]

Blank W-9 Tax Form

STOP and read these instructions:

Please fill out this form on your device, and then save it onto the device. To send it to us, please attach the saved file onto your email addressed to [email protected]