Emergency Rental Assistance- Self-Certification of Eligibility
I certify that the information I provided in my Emergency Rental Assistance (ERA) application submitted in February 2021 is true, complete and accurate to the best of my knowledge. I understand in lieu of providing documentation for each of these eligibility criteria:
In order to qualify for Emergency Rental Assistance, you MUST be able to check off at least one of the two circumstances described below as true for your household.
You MUST explain your answer/circumstances below. If this is left blank, you will be required to resubmit this form before any FHA can offer any assistance. DO NOT LEAVE THIS SPACE BLANK.