Please complete and submit this application for consideration under the Housing Relief Fund. 

Please answer all questions and submit all documents needed. 

Please submit all required documents.  The Disclosure of Benefits form and the Privacy Policy are templates which you should download, print, complete and scan back in. 

As described in the Disclosure of Benefits form, the financial assistance you are requesting may affect your eligibility for other rent/mortgage or utility assistance related to COVID-19. By submitting this application, you affirm that no other payments have been made on your behalf to your landlord/mortgagor or utility provider for the period(s) that is/are covered by this application for assistance. Further, you acknowledge and accept your responsibility to repay any benefits that duplicate assistance you have already received.

When you are finished with your documents and have answered all of the questions, please submit your application.  If you recieve an error message stating that you did not answer a question or did not upload a document and you did actually answer the question or upload the document, please press refresh and then submit again.