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We are experiencing a very high volume of applications for rental assistance at this time.
Because of this, it may be a few weeks before we are able to get you in for an appointment if you are deemed eligible.
We are not able to provide emergency same day or same week assistance at this time. Please do not apply if this timeframe does not work for your situation.
If you do not wish to proceed, please exit this page.
Applicants are bound by the information presented in this application and, by submitting the application, confirm that all information is true and accurate. False information will result in denial of assistance and any other applicable consequences.
Failure to provide accurate, appropriate information will result in denial of your application.
Efficiency or Studio: $518
One Bedroom: $555
Two Bedroom: $666
Three Bedroom: $770
Four Bedroom: $858
This form must be completed in its entirety in order for us to consider your application for assistance. Assistance is not guaranteed by submitting this form.
Please be aware that citizens applying for move-in assistance MUST possess a valid photo ID with a Pasco address. This is required and cannot be waived. This may be required for all adults in the home.
We respond to most applications via email. Please enter a valid email and be sure to check your messages often. If you do not have an email address, you can easily create one with sites such as Google, Yahoo, etc.
If you do not have a physical address, please use last known address or address of the facility at which you are completing this application.
Your current city.
Include yourself, all other adults and all children.
List information for everyone else in the household BUT NOT for yourself. Children should be included.
Indicate this person's relationship to the primary applicant.
For this section, please answer each question honestly and accurately. Gross income refers to the amount before taxes and other items are deducted from your check. Whenever possible, please use exact paystub or statement amounts to provide total income for each source. Each source of income will have to be verified with paystubs or current statements prior to assistance.
Money or income refers to money received from employment, social security, child support, unemployment, or any other type of financial assistance except food stamps.
If someone in the home is employed currently, please provide employment details such as employer, hourly/salary wage, hours per week, and employer contact information here.
Gross income means BEFORE taxes. Type ' 0 ' if not applicable
Please enter '0' for no income. Please include income from ANYONE that lives in the home.
Check all that apply.
**DO NOT SUBMIT THIS FORM UNLESS YOU HAVE ALREADY LOCATED POTENTIAL NEW HOUSING, AS ELIGIBILITY FOR THIS PROGRAM DEPENDS ON INFORMATION ABOUT THE NEW PROPERTY**. Local resource centers can help you in locating potential properties to move into. Information in this section should generally refer to the NEW property to which you are interested in moving.
Please provide as much detailed information as possible about your current circumstances, including the reason you need help with move in deposits and any other information you would like to provide.
Please add any supporting documents.
YOU MAY BE DIRECTED TO A PAGE ONCE YOU CLICK SUBMIT THAT SAYS YOUR ARE INELIGIBLE. This means that, based on your answers on this application, you would not qualify for assistance through one of our current programs. Do not attempt to resubmit an application with different information, unless you are certain you made a mistake the first time.
YOU MAY BE DIRECTED TO A CONFIRMATION PAGE ACKNOWLEDGING THAT WE HAVE RECEIVED YOUR APPLICATION. If this is the case, we will most likely respond to your application via the email address you put on the application. PLEASE check your email before calling to follow up. We typically respond by email within 2-3 business days.
This field is not part of the form submission.
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