Application Form

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Instructions [hide this]

How do I do this?

1 Create a ZoomGrants™ account (below) or log in to your existing account (above)
2 Select a Program to apply for, then click the Apply button to get started
3 Answer the questions and/or fill in the fields in each tab
4 If necessary, upload any requested documents
5 Submit your application and wait for a decision
6 If you are selected to receive funding, you might be required to submit invoices or reports through your application

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City of Tampa
Open Programs How do I do this?

No programs are currently available for new applications.

To access your previously created applications, Login Here as an existing ZoomGrants user.

City of Tampa

Emergency Utilities Assistance

CLOSED Deadline 8/2/2022

View Open Programs | Show Description Show Requirements Contact Admin

Description [hide this]

The COVID19 crisis has impacted many of Tampa's individuals and families who are struggling to maintain basic needs which are struggling to stay afloat. For that reason, the City of Tampa is mobilizing an emergency utilities assistance program.

The Emergency program will provide payments for eligible individuals and families that receive City of Tampa Utility statements and reside within the City Limits to cover their past due City of Tampa Utility costs for RENTERS ONLY.

Please note you will be receiving correspondence emails for your application from ZoomGrants. Please check your bulk mail or spam folder in case the email got delivered there instead of your inbox.

******ALL INCOMPLETE APPLICATIONS WILL BE DELETED AFTER 14 DAYS******

Requirements [hide this]

Restrictions [hide this]

Library [hide this]

Announcements [hide this]

Online Meeting [hide this]

Application Status: Not Submitted

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Application Completion [hide this]
By entering your initials here you certify this submission truthfully and accurately represents your application and is hereby submitted for review. Submission of this application does not, in any way, guarantee that your application will yield a favorable result. Submission of this application also indicates your agreement to the terms of using ZoomGrants™. I hereby authorize the City of Tampa to release nonpublic personal information it obtains about me to my creditors and any third parties necessary to provide me with the services I requested. I acknowledge that I have read and understand the above privacy practices and disclosures.	Some fields are still empty... Initials
You must first create a new account or login to an existing account to save changes.

Summary Profile Required Documents Activity Log

Summary

(answers are saved automatically when you move to another field)


Application Title/Project Name

Applicant Information
First Name
Last Name
Telephone
Email

Address 1
Address 2
City
State/Province
ZIP+4/Postal Code
Country

Organization Information

(changes to this data will be reflected on all other applications for this organization)

Create an Organization

Pre-Application	(answers are saved automatically when you move to another field)
Pre-Application Questions are not required.
Submit Pre-Application
This Pre-Application section must be submitted and Approved by the Administrator (not ZoomGrants) before you can fill out the rest of the application. Click the Submit Pre-Application button at the top or bottom of this tab to submit this section to be reviewed.

Application Questions	(answers are saved automatically when you move to another field)
Instructions Show/Hide

Profile

(answers are saved automatically when you move to another field)

Property Address Show/Hide Instructions

This is the property for which you are seeking utility assistance. Please complete if different from your mailing address.

Address	Tampa	FL	Zip Code

Total

Household Members Show/Hide Instructions

List all household members including self.

Name	Age	Relationship to Applicant	Annual Income	Student?	Veteran?
			$
			$
			$
			$
			$
			$
			$
			$
Total			$ 0

Household Employment Info Show/Hide Instructions

List employment information for all household members.

Household Member Name	Employer	Employer Address	Employer Phone: (xxx) xxx-xxxx	Employer Email








Total

Individual/Household Income Show/Hide Instructions

Check the box next to the description of your household size and combined household income.

Household Size/Income	Check One
1 Person at/or below $41,350
2 Persons household at/or below $47,250
3 Persons household at/or below $53,150
4 Persons household at/or below $59,050
5 Persons household at/or below $63,800
6 Persons household at/or below $68,500
7 Persons household at/or below $73,250
8 Persons household at/or below $77,950
I do not meet any of these criteria.
Total

Race/Ethnicity Show/Hide Instructions

Please indicate the Race and Ethnicity of the head of household. (Please select one)
Special Needs. (Please select one)

Head of Household (check One)	Hispanic	Non-Hispanic	Disabled	Developmental Disabled	Homeless	Receiving SSI	Receiving SSDI	Veterans Disability	Domestic Violence Survivor
African American/Black
White
American Indian/ Alaska Native
Asian
Native Hawaiian/Pacific Islander
American Indian/ Alaska Native & White
Total

Required Documents

Documents Requested *

Required?

Uploaded Documents * Refresh Page

Documentation of loss of job or 25% or more reduction income due to Covid-19 (termination letter, pre/post pay stubs, notice of layoff/furlough, etc.)

-none-

Copy of lease

-none-

Copy of current City of Tampa utility bill

-none-

Copy of last two paystubs, last tax return filed and/or other proof of income

-none-

Copy of Photo I.D. (government issued i.e. driver's license, passport, etc.)

-none-

Zero Income Affidavit
(to be completed by all household members 18 and over who are claiming no income)
Download template: Zero Income Affidavit

-none-

Other documents
(Upload any other documentation not listed that may affect your eligibility for the program)

-none-

CONSENT FOR City of Tampa Covid-19 Assistance
(To be completed by all household members 18 and older.)
Download template: Consent Form

-none-

Duplication of Benefits Agreement
Download template: Duplication of Benefits

-none-

Self Certification of Income
Download template: Self-Certification of Income

-none-

* ZoomGrants™ is not responsible for the content of uploaded documents.

Extra	(answers are saved automatically when you move to another field)

If you are ready to have your answers reviewed, add an entry to the Activity Log and request a Grant maker action.

Report	(answers are saved automatically when you move to another field)
Ask a Report Question	(answers are saved automatically when you move to another field)

Reporting Questions are not required.

Activity Log

-none- Add a new entry to Activity Log Grant maker action requested Applicant action completed Other Description

Contract

Save Contract as PDF

Save Contract as PDF

Documents

Documents (downloadable) will be listed here, along with a place for the applicant to sign, and your signature if present.
List will be updated when page is refreshed.

Upload Contract Documents

Signatures

Applicant

City of Tampa

Financial

This application must be approved before you can submit any invoices.

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