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* 1. Organization Information

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* 2. Does your organization currently have funds available to assist individuals/families in need of rent and/or utilities assistance?

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* 3. As of August 1, 2021, approximately how many dollars are available in this program?

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* 4. Does this program currently have a waiting list?

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* 5. What contact information should be used for processing individuals/families in need for this program?

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* 6. What are the INCOME requirements/restrictions for individuals/families to receive assistance?

For example: Maximum income of the 150% of the FPL.

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* 7. What are the DOCUMENTATION requirements/restrictions for individuals/families to receive assistance?

For example: Drivers license, birth certificate, monthly bill, etc. 

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* 8. Are there any limitations of the number of times an individual/family can receive this assistance? Please elaborate on these limits.

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* 9. What is the process for an individual/family to receive these benefits?

*Please include specific client management softwares or systems used.

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* 10. Do you take walk-ins for this program?

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* 11. Does this program allow you to provide assistance to undocumented individuals/families?

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* 12. Are there any notes or comments you would like to make aware for this meeting?

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