Fill out all applicable forms and email to MJHumanServices@mifflinco.org OR drop off at the Human Services office in either Mifflin or Juniata Courthouses OR mail to:

MJHS

20 N. Wayne Street

Lewistown, PA 17044

CLICK HERE FOR ERAP FORMS

ERAP forms for TENANTS/APPLICANTS

1.  Eligibility Checklist

2.  Written Attestation of Need

3.  HIPAA form

4.  Proof of pandemic (revised)

5.  Self-employment income worksheet

6.  Past Due Utility Bill Submission

7.  ERAP Form Packet - Spanish

 ERAP forms for LANDLORDS

1.  Landlord Certification

2.  W-9