Emergency Housing Assistance Funds

Fill out all required informationStep 1 of 3 (*required fields)

Legal Name

First *

Middle initial

Last *

Suffix

Birthday *

Social Security Number *
Verify Social Security Number *

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

Yes No

Please provide your ‘ID.ME’ details * Email * Password*

Current U.S. Address

To be eligible for this program, you must list U.S. addresses for your home. If you provide a foreign address, the Department of Housing will not be able to process your application

Address Line 1*

Address Line 2

City * State *

Zip *

Have you lived at this address for 3 years or more? *

Yes No

Past Due Rent/Utilities Amount *

Primary Contact Details

Provide your phone nnumber and email address as the primary contact for reaching you

Phone Number * Email Address *