Submit Application - VI Emergency Rental Assistance Program

Submit your ERAP application online

Your Name *

Your Email

Landlord’s name *

Landlord's email

Landlord’s phone

Completed Application

Click or drag a file to this area to upload.

Statement of rent owed

Click or drag a file to this area to upload.

Identification for all household members

Click or drag files to this area to upload. You can upload up to 6 files.

Lease agreement

Click or drag a file to this area to upload.

Utility bill

Click or drag a file to this area to upload.

Past due notice for utilities

Click or drag a file to this area to upload.

2019 tax return

Click or drag a file to this area to upload.

Proof of income

Click or drag a file to this area to upload.

Attestation *

I attest that one or more members of my household either (i) qualified for unemployment benefits or (ii) experienced a reduction in household income, incurred significant costs, or experienced other financial hardship due, directly or indirectly, to the COVID-19 outbreak. I declare under penalty of perjury that all statements on this application are true and correct. I agree to present all verifying documents requested or to authorize the Emergency Rental Assistance Program intake agency or processing team to obtain the documents or to contact any authorized third-party to verify information in regards to this application.

Signature *

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