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Housing Displacement Prevention Application

The Housing Displacement Prevention Program is designed to assist those who are at risk of becoming homeless due to unexpected hardships and limited resources. The program provides financial assistance to those in need to help them maintain their housing.

To apply for the program, applicants must first complete an application form. This form can be found below. The program usually has a turnaround time of 5-7 business days, so it is important to plan ahead and submit your application early.

The program can provide financial assistance with moving costs such as security deposits, application fees, pet fees, and more. To qualify, applicants must demonstrate a need for assistance and provide supporting documents. These documents may include proof of income, proof of residence, and proof of other expenses, but aren’t required. Once the application has been approved, the applicant will receive the funds to help them keep their housing.

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Name*
Email*
Address
Please describe your current living situation
Age Group
Race
Ethnicity
Gender Identity
Are you a veteran?
Housing loss expected within
How long will you need housing?
History of literal homelessness (street/shelter/transitional housing) (any adult)
Are you a lease leaseholder?
Have you ever been a lease leaseholder?
Currently at risk of losing a tenant-based housing subsidy or housing in a subsidized building or unit (household)
Rental evictions within past 7 years (any adults)
Disabling condition or symptoms (physical health, mental health, substance use) (head of household)
Disabling condition or symptoms (physical health, mental health, substance use) (head of household)
Currently pregnant (any household member)
Single parent household with minor child(ren)
Household includes young children (age six or under), or a child who requires significant care
Housing History and Barriers
Max. file size: 300 MB.
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We would love to hear from you.

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Name*
Email*
This field is for validation purposes and should be left unchanged.