MUM Client Intake Form

Use this form to apply for help from MUM. If you need assistance and you live in one of these zip codes: 20902, 20906, 20895, 20896, and 20853, complete this application and it will be sent to MUM. Someone will contact you to set up an appointment during MUM's office hours: 9 a.m. to 4 p.m. on Tuesday, Wednesday and Thursday.