COVID-19 Hardship Application

The information you provide is confidential
Special hardship situations can be reviewed by the Hardship Committee, made up of members who are union brothers and sisters appointed by the Executive Board to help members who have been impacted by the COVID-19 Pandemic and are in a financial crisis
If you are qualified and get awarded an amount for hardship assistance, it will be payable to the vendor of the bill you are owing and not directly to you
There are no guarantees that you will receive financial assistance

Please complete the information below to apply for assistance.

If you would prefer to fill out a hard copy of the application to mail or drop off to the Local 5 office, along with the supporting documents, please download it here. Our address is:

UNITE HERE Local 5
1516 S King St.
Honolulu, HI 96826

Your Name:*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Cell Phone**
**NOTICE: By giving your information, you understand that you are opting into receiving text messages from UNITE HERE Local 5. Standard data & msg rates apply.
Home Phone
Email*
Please do not give someone else’s email address and do not give an email address supplied by your employer.
Employer*
Marital Status*
- Single
- Married
Number in Household*
Total amount of money you are requesting, up to $550*
Please enter a number less than or equal to 550.00.
Please tell the committee why you need assistance*
Proof of Unemployment*
Provide copies of current (must have the date you took the screenshot) screenshots from your UI portal that shows your name and the status of your claims (ie pending, disqualified, processed, etc). The further back you can go, the better
Drop files here or

Max. file size: 50 MB.
Proof of back-owing or delinquent bill/payment*
Provide copy of bills/statements/demand for payments that show that you are owing or delinquent. If awarded, the payment will be sent directly to the entity where the bill was generated from
Drop files here or

Max. file size: 50 MB.