COVID-19 Emergency Rental Assistance Program

Application

IMPORTANT INFORMATION – Please Read Prior to Completing

By submitting this pre-application, you are acknowledging and electing to be considered for the following rental assistance programs:

  • COVID-19 Emergency Rental Assistance Program (ERAP)
  • Eviction Prevention Program (EPP)

Prior to completing this form, please have the following information readily available:

  • Lease Information
  • Household Income Information
  • Landlord/Owner Contact Information

It is important that you only complete ONE application per household. Submitting additional applications for the same households will not increase your odds of being selected sooner or your application being processed quicker.

Read each question carefully and verify your answers for accuracy prior to submitting. False information may result in the delay or denial of your application.

Were you affected by COVID-19?

Please select which best applies to you



Tenant Name *

Tenant Phone *

Tenant Email *

Tenant Date of Birth *

Tenant Social Security Number *

Upload front Driver's License *

Upload Back Driver's License *

Total Amount Due *

Month Due *

Address *

Utility Amout *

How did you hear about the program?

Have you been verified by commercial identity provider ‘ID.ME’ *

Need Help?

You can contact our Client Call Center at 813-563-6025, click here for or submit a SERVICE REQUEST

You can contact our Client Call Center at 813-563-6025, or submit a SERVICE REQUEST