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Emergency Rental Assistance Program Application/ Declaration Form Please print clearly. Complete all sections. Head of Household Name: Daytime phone: Head of Household Social Security Number Present.

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How to fill out the Rent Assistance Form online

Filling out the Rent Assistance Form online can seem daunting, but with clear instructions, you can complete it efficiently. This guide provides a step-by-step approach to help you navigate each section with confidence.

Follow the steps to successfully complete your Rent Assistance Form online.

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. Begin by entering the name of the head of household. Ensure that you provide a daytime phone number for contact purposes.
  3. Input the head of household's Social Security number and residential address, including city and zip code. If the mailing address differs, provide that information as well.
  4. List all members of the household, starting with the head of household. Include the name, relation to the head, age, gross monthly or weekly wages, and any other payments received.
  5. Answer the question regarding whether any adult member is subject to the state sex offender registration law, specifying who if applicable.
  6. Indicate the monthly rent amount and the number of bedrooms in the apartment. Specify if this is a room rental and whether you have your own bathroom and kitchen.
  7. Declare if you are living in subsidized housing or currently receiving rental assistance; this may impact your eligibility.
  8. Confirm your New Hampshire residency as eligibility requires you to reside in New Hampshire.
  9. State whether you will be able to pay ongoing rent with assistance; provide an explanation if you can manage this.
  10. Provide the name and contact phone number of your landlord, and fax number if available.
  11. Remember to attach a copy of the required documents: the Town or City’s Final Notice of Decision, and if necessary, the current Demand for Rent or a homeless certification.
  12. Review the completed form for accuracy. Save any changes, download, and print a copy for your records before submitting it online.

Complete your Rent Assistance Form online today to ensure timely assistance with your rental needs.

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Complete applications with ALL required supporting documentation are generally processed within 30 days. Applications with incomplete documentation will require additional processing time to collect and process the additional information.

Applications for the Arkansas Rent Relief Program are now closed. Rental assistance is available through the Emergency Solutions Grant Program . The Arkansas Rent Relief Program is no longer accepting new applications or extension applications as of noon on April 1, 2022.

If you qualify, the Fresh Start Program will pay an amount up to one month's rent as necessary to pay a security deposit at a new dwelling, and 1.5 months of rent for the new dwelling. The new landlord must agree to accept payment from the program.

Under the current process, landlord and tenant applications are matched, and funds are paid to the landlord if both parties provide required information within 10 days. If the landlord does not provide information, the funds are sent to the tenant only.

Please call 1 (855) RENTARK for further assistance.

Please call 1 (855) RENTARK for further assistance.

Low-income Arkansans needing rental, homelessness prevention, or rapid re-housing assistance can apply for funds through the Emergency Solutions Grant program, funded by DHS, and administered by organizations across the state. Funding is available for eligible individuals.

To ask for an appeal by phone, please call 844-NY1RENT (844-691-7368). For individuals who are hearing impaired, you may call the TTY number at 1-833-843-8829.

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