COVID Rent Relief Inquiry Form

Please complete this form if you would like to receive notification IF additional opportunities to apply for COVID rent relief may open.

This is not an application for assistance. A complete application will need to be submitted if the program re-opens.

If you are looking for a housing voucher, you must apply through the Housing Opportunities Commission Housing Path portal. You can find out more and begin your application at https://hocmc.org/rental-programs/rental-programs.html.

If you are experiencing a housing emergency please contact 311 or present in person to any of our social service offices. For more information on emergency eviction prevention visit our program page here.

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* 1. Please provide your contact information

Name

ZIP/Postal Code

Email Address

Phone Number

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* 2. How much do you currently owe in rent arrears? (please provide total dollar amount)

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* 3. How much do you currently owe in utilities? (please provide total dollar amount)

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* 4. How many people are in your household?

2-5

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* 5. What is the gross monthly income for all members of the household?

Under $1,000

Between $1,000 and $2,999

Between $3,000 and $4,999

Between $5,000 and $7,999

Over $8,000

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* 6. Did you receive COVID Rent Relief assistance in one of the earlier rounds?

Yes

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* 7. Are you currently receiving any regular assistance to pay your rent?

Yes

If you answered yes, please specify what program/person you receive assistance from.

Reminder, this is an inquiry form ONLY for future program opportunities. If you are experiencing a housing emergency please contact 311 or present in person to any of our social service offices. For more information on emergency eviction prevention visit our program page here.