To help states and other jurisdictions quickly implement impactful programs, Treasury has provided examples of simplified eligibility forms below that are being used effectively by emergency rental assistance programs around the country.
Not all tenants will have access to or will be able to submit the documentation typically used to verify employment, household income, loss of income, or rental obligation in the ERA application. It also may be the case that a landlord is unwilling to cooperate with a documentation request. To ensure that assistance is made available to all who qualify, Treasury guidance has indicated that written attestation is an appropriate means for satisfying documentation requirements for emergency rental assistance.
Commitment Letter
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Security deposit approval letter
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Letter of Intent
Income
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Dependent care hardship
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Financial distress certification
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Income
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Income
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Income
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Self-employment
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Zero income
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Zero income
Landlord agreements with additional protections for tenants
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Housing provider agreement
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Landlord and tenant agreement
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Landlord application
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Landlord certification
Rental Obligation
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Landlord/tenant relationship and rent owed
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Landlord/tenant relationship and rent owed
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Roommate certification
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Tenant self-certification of lease
Multiple certifications
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Household income, lease, unemployment eligibility, and reduction in household income
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Income, housing status, financial hardship, rent payment amount, and utility arrears
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Rental obligation, financial impact, housing impact, and income qualification