Support Phone Numbers

Application for Emergency Assistance

Application for Emergency Financial Assistance

The application is available as an Adobe Acrobat PDF file. If you don't have the Acrobat plugin, you can download it for free at

To complete the application:

  1. Download and open the Application Form
  2. Enter your information in the spaces provided
  3. Print the form
  4. Mail for fax the form to the address below:

    Rick's Place
    16370 NW 130th Terrace
    Platte City, MO  64079
    Fax: (816) 858-4198

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