For Urbandale Iowa Residents ONLY

Application for Eye Glasses or Hearing Aid Assistance

How can I apply to the Urbandale Lions Club for assistance with eyeglasses or hearing aids?

1.    You must be a resident of Urbandale, Iowa

2.    Print and fill out the appropriate application.

3.    Mail the application and documentation to:


Urbandale Lions Club

P.O. Box 7826

Urbandale, IA 50322


Note: only a basic pair of single or lined bifocal eyeglasses maybe provided for individuals who meet the financial criteria.


Please know that your request will be given the utmost consideration. Requests such as these do take time to process due to the fact that all members of the Urbandale Lions Club are volunteers. Thank you for your patience. Should you have further questions our email is




Eye Glass Application                                  Hearing Aid Application