Universal Benefits Application (UBA)
UBA Form
Check the box to opt-out of UBA notifications
Please enter a valid student number. The student must be active and enrolled at
Student Search
Student Number:
Assistance Program & Case Number
If any Household Membrs (including yourself currently participate in one or more of the following assistance program, please indicate which program you receive and write in a case number. If yes, you may skip the household member section.
Household income is not required
All Students in School & Household
Primary household, excluding active students
Student Information
Household Size and Household Income (Auto-filled)
Signer Information
Information
Update?
New Member
First Name
Last Name