PART 1
Please provide all information for all family members. Please provide Social Security Numbers for all children, if available.
PART 2
Please complete this information using your current address.
PART 3
When completing wage and benefit information, please indicate if the figures you provide are yearly or monthly income.
…is a way to help you with rental costs.
It may help you afford a better place to live.
The program pays your landlord part of your monthly rent.
YOU MAY QUALIFY IF:
1. Your household includes one of the following:
AND...
2. Your total household income is not over program limits