Friendly Center · Rental Assistance Eligibility Form

Rental Assistance Eligibility Form

We have reached our capacity for processing applications to the District 4 Emergency Rental Assistance Program (ERAP). Due to the high volume of responses received, therefore, we are pausing the acceptance of new applications at this time.

Please check back on d4.ocgov.com/ERAP for the latest information and updates regarding the program's status.

Due to your city of residence, you are ineligible for rental assistance.

Reason for Rental Assistance

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Housing is at risk due to unpaid rent (i.e.: sudden change in income, medical emergency, loss of employment, etc.)

You are unhoused but earn sufficient income to pay rent consistently

None of the above

Due to the reason for assistance, you are ineligible for rental assistance.

Household Information

What is your household size?

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What is your monthly household income?

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If selected, are you able to commit to working with a Case Manager for a minimum of three months to identify housing options, create a monthly budget, and receive other resources?

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Yes

No