For residents in

Darke, Greene, Montgomery and Preble counties

Application Process

Step 1 – Complete the Customer Application 
Step 2 – An MVCAP Intake Specialist will follow-up 
Step 3 – DO NOT upload any documentation until requested by an Intake Specialist. 



Rental/Late Fee Assistance

Online Customer

Download Application & Forms

Landlord Forms

Upload Landlord Documents

Download Landlord Document Forms


Bulk Fuel

PIPP and Summer/Winter
Crisis Application

Upload Documentation


Due to an unusually high upsurge of applications because of the COVID pandemic, the Legal Clinic has reached the maximum number of applications our current staff and resources can handle.
Unfortunately, we are forced to close our intake portal until further notice. If you currently have an application that has already been submitted, please be patient. If you are needing help with driver’s
license reinstatement or criminal record issues, we encourage you to go to our Resource Page for tips and materials on how best to start working on your goal. If you are in eviction, please, apply to Legal Aid at (888) 534-1432.

Self-Help Resources

Upload Documentation

Landlord Forms

Landlord Statement

Download Landlord Forms

Upload Landlord Documents

Eviction Prevention - Help is Available

If you are a tenant struggling to pay rent, the Center for Disease Control issued a ban preventing your landlord from evicting you between September 4, 2020 to March 31, 2021 for failing to pay rent. To begin the help process, fill out an application for assistance and an eviction prevention declaration.

Eviction Prevention – CDC Info and Declaration (PDF)

Eviction Prevention Declaration (PDF)

Eviction Prevention Declaration (WORD)



1. Add your name, address, and your landlords name and email address to the Declaration document, sign, and the declaration.

2. If you complete the document online or from your phone, type your signature using /s/ before your name. Example:    /s/ Tina Tenant

3. Make a copy of your signed declaration

4. Email, send via U.S. Mail, or hand deliver this signed declaration to your Landlord in a way that allows you to get proof that the landlord received it.

5. All adults who have signed your lease must provide a separate declaration.