ERAP Recertification Form

If you are recertifying for ongoing assistance (after three months), please provide the following:

  1. Completed Recertification Form.  Must be e-signed prior to submission.
  2. Household Information.
  3. Income Verification - documentation of ALL gross income, either your income* from past 30 days prior to application date or a copy of your filed 2020 Tax Return (IRS 1040).  W-2s are NOT allowable proof of income.
    *Provide ALL gross income, including earned (i.e. income statements, letter from employer, paystubs) and unearned (i.e. child support, private pensions, social security retirement, social security disability (SSD), supplemental security income (SSI), TANF, unemployment compensation, utility reimbursement, Veteran's Disability, Veteran's Pension, workers' compensation).
  4. If you have zero household income, provide a written detailed statement why the head of household or household member claims of zero income.
  5. If requesting rental assistance, CURRENT RENTAL LEASE AGREEMENT must be attached and for utility assistance, provide copies of the most recent bills.  Please notify your utility company that you are applying for assistance.

 

APPLY HERE

 
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