Rental Assistance Application

Name of Applicant(Required)

First Last

Total Household Size(Required)

Phone Number(Required)

Email Address(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Do you have a valid written lease?(Required)

Yes

Are all adult household members on the written lease?(Required)

Yes

Does your current annual income fall into one of the following categories?(Required)

Yes

Household Size and Annual Income categories

What is your household’s current monthly income?(Required)

Are you receiving other forms of rental subsidy such as Section 8 or other rental assistance programs, rapid rehousing assistance, or rental assistance from non-profit agencies?(Required)

Yes

How much do you currently owe in back rent?(Required)

Please briefly describe your household’s need for rental assistance(Required)

Thank you for submitting your application. Please attach the following documents and verifications and a staff member will review the application and contact you within 5 business days.

Copy of written lease with all adult household members
Proof of ID for all household members
Proof of income for all adult household members (paycheck stubs, benefit letters, unemployment (EDD) statement etc.)
Proof of emergency related to COVID19 (lay-off notice, medical documentation, documentation of school/work closure etc.) where applicable
2 months of rents receipts or verification of paid rent
Proof of rental delinquency

Completion of this application does not guarantee that you will receive funding but provides initial eligibility information.

City of Carlsbad COVID19 Rental Assistance Applicants: Please be aware that in order to decrease duplicative requests for assistance applicant information is shared with the funder (City of Carlsbad) and Interfaith Community Services, a separate sub-contractor with the City of Carlsbad. If you have a question regarding this application, would like additional information about our rental assistance programs or would like to complete a paper copy of this application please contact the Integrative Services Department at Community Resource Center by calling (760) 300-3238 or via email at housingnavigation@crcncc.org or you may come to our office during our normal business hours which can be found here http://crc:8888/covid-19-information/

Upload Documents (.pdf or .docx)(Required)

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Rental Assistance Application

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