Get Ca Rent Mortgage And Utility Subsistence Payment - Application And Verification Form - City Of 2020-2025

Filling out the CA Rent Mortgage And Utility Subsistence Payment - Application And Verification Form is a crucial step for individuals and families seeking financial assistance during challenging times. This guide provides a clear, step-by-step process to ensure you complete the form accurately and effectively.

Follow the steps to accurately complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out your personal information at the top of the form, including your name(s), residential address, email, and phone number. Ensure all details are accurate to avoid delays.
3. In the section labeled 'Total Amount Requested', enter the total amount you would like to request, up to $5,000. This should reflect the combined amount needed for rent, mortgage, or utility payments.
4. Next, indicate the recipient of the funds by filling out the relevant fields for either your landlord or mortgage lender. Include their name, address, account number, and proposed use of funds (rent or mortgage). Specify the months for which you are requesting assistance.
5. Continue to fill out the sections for utility payments. Similar to step 4, provide details for each utility company. List the name on the account, address, account number, and the proposed use of funds for each type of utility payment.
6. Respond to the questions regarding duplication of benefits and COVID-19 impact. Provide details about any financial assistance received from other sources and any loss of income due to COVID-19.
7. Complete the income qualification questions by listing all household members and their respective ages and sources of income. Calculate your total annual household income, ensuring it aligns with the guidelines provided.
8. Finally, review the duplication of benefits affidavit section, affirm the information provided, and include signatures and dates where required. Ensure all sections are completed accurately to maintain the integrity of your application.
9. Once all sections are filled out, you can save your changes, download the completed form, print it for your records, or share it with relevant parties as needed.

Get started on your application online today to ensure you receive the assistance you may need!