Formulario de consulta de alivio de alquiler de COVID

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. Por favor prover su información de contacto

Nombre

Código Postal

Dirección del Correo Electrónico

Número de teléfono

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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. Cúantas personas hay en tu hogar?

2-5

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* 5. Cual es el ingreso mensual de todos los miembros de su casa?

Debajo de $1,000

Entre $1,000 y $2,999

Entre $3,000 y $4,999

Entre $5,000 y $7,999

Por encima de $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.