American Rescue Plan Act: State and Local Fiscal Recovery Funds (SLFRF)

Individual and Household Assistance Program (IHAP) Application

Park County Logo

PARK COUNTY, COLORADO

County Administration

Park County Logo Park County Individual and Household Assistance Program (IHAP) Application

On March 11, 2021, the American Rescue Plan Act (ARPA) was signed into law. ARPA established the Coronavirus State Fiscal Recovery Fund and Coronavirus Local Fiscal Recovery Fund, which together make up the Coronavirus State and Local Fiscal Recovery Funds (“SLFRF”) program. This program is intended to provide support to State, territorial, local, and Tribal governments in responding to the economic and public health impacts of COVID-19 and in their efforts to contain impacts on their communities, residents, and businesses.


As a recipient of SLFRF Funds, Park County has established the Individual and Household Assistance Program (IHAP) to aid those who continue to face unprecedented, direct, and indirect impacts due to the COVID-19 pandemic. This includes providing up to $3,000 per application for assistance with housing payments (including mortgage or rent), utilities, transportation repair costs (vehicles used for employment), or other household essentials. Applicants may submit more than one application.


IHAP will accept applications starting October 11, 2022, to September 23, 2023.Applications will be reviewed on a rolling basis.  Applications can be submitted using the online portal, emailed, mailed or hand-delivered to:


USPS:                    P.O. Box 1373

  Fairplay, Colorado 80440

Hand-delivered:   856 Castello Avenue

                               Fairplay, Colorado 80440

Email:                    parkcounty@acdisaster.com

Online Portal:       https://parkco.us/888/American-Rescue-Plan-Act-Funding-and-Pro

 

To be eligible for IHAP, applicants must be a Park County resident and meet one of the following criteria:

1.      Have a household income that is considered low or moderate income (see table 1 below) *;

2.      Currently receive selected benefits from the state; or,

3.      Can demonstrate a financial need that was caused by impacts of COVID-19.


*Please note, the Park County is prioritizing applicants who have income that is at or below 65% of the Area Median Income based on household size. Applicants with income above 65% AMI will be considered as funding allows.


Table 1: 2022 HUD Area Median Income Limits

Household Size

1

2

3

4

5

6

7

8

40% AMI

$32,840

$37,520

$42,200

$46,880

$50,640

$5,440

$58,160

$61,920

65% AMI

$53,365

$60,970

$68,575

$76,180

$82,290

$8,840

$94,510

$100,620


Required documentation

Your application must be accompanied by the following required documentation (as applicable):

  • Driver’s license or State ID for all adult household members
  • Proof of Park County Residency; if ID does not include Park County address (bill/mail with applicant’s name and address)
  • Proof of disability
  • Proof of state benefits received
  • Proof of income (two months of pay checks)
  • Proof of need for assistance requested showing past due balance
    • Rent/mortgage statement or eviction/foreclosure notice
    • Utility/transportation/internet statement/bill
    • Vehicle maintenance bill (for vehicle used for transportation to and from employment or an interview)

 



Applicant Name




Physical Address Details





Mailing Address Details







Household Members Information

*Household information is required to ensure eligibility under SLFRF guidelines. This information will only be shared with Park County staff assisting with reviewing SLFRF applications.










Financial Information



































Household Income

Please complete the following table for any income your household has or will receive. This includes employment income, unemployment benefits, child support, Retirement/Pension, Social Security benefits, Veterans Benefits, Veteran Widow, Dividends/Interest, Alimony, Worker's Compensation, Disability Benefits, Financial Aid, Railroad Retirement, Rental Income, Survivor Benefits, Other Cash Received Monthly. 












COVID-19 Assistance Requested:

There is an application limit of $3,000.  Please fill in the below table with the type assistance you are requesting. This can include assistance with housing payments (including mortgage or rent), utilities, transportation repair costs, or other household essentials.








Required Documentation

Your application must be accompanied by the following required documentation (as applicable): 
Driver’s license or State ID for all adult household members 
Proof of Park County Residency; if ID does not include Park County address (bill/mail with applicant’s name and address)
Proof of disability
Proof of state benefits received
Proof of income (two months of pay checks)
Proof of need for assistance requested showing past due balance
o Rent/mortgage statement or eviction/foreclosure notice
o Utility/transportation/internet statement/bill 
o Vehicle maintenance bill










Certification and Applications Statement


By signing below, I (we) hereby authorize the investigation of all statements contained in this application and all associated supporting documents submitted by me (us).

 

Further, I (we) declare, subject to penalties of perjury, that the information contained in this application as well as in any supporting documents, papers, or interviews have been examined and to the best of my (our) knowledge and belief are true and accurate. I (we) understand that the filing of false statements may be prosecuted in civil or criminal proceedings under the State or Federal Law. I (we) further understand that the completion of this application in no way constitutes approval by Park County Administration or it's assigned agents nor obligates funds in any way.

 

I, we, certify that I have fully disclosed all of my financial resources and they are true and correct. I understand that any misrepresentation of my financial resources and/or circumstances can result in disqualification from the program.

 

I (we) attest that to the best of my (our) knowledge and belief all information submitted in connection with this application shall be accurate and complete. I (we) understand that the submission of inaccurate or fraudulent information may be grounds for denial or recapture of a grant, and may be punishable by criminal, civil or administrative penalties. I (we) understand that any information I (we) give may be investigated and verified.

 

I (we) certify that the property for which I am applying for assistance is my current primary residence.

 

In addition, each applicant agrees, by signature and submission of this application:

A)       To allow Park County Government (County) to share this information with other non-profit organizations, and agencies associated with the County.

 

B)       To allow other non-profit agencies to share their information with the County and its agents.

 

C)       To allow any federal, state, or local government agency or authority that has or is providing funding to the County to share its information with County.

 

Any information shared with the State pursuant to the foregoing provision will be considered the personal/financial information of the applicant and will be treated as such under Colorado Freedom of Information Act.

This is an equal opportunity program. State or Federal law prohibits discrimination on the basis of race, color, religious creed, age, marital status, national origin, ancestry, sex, gender identity or expression, mental retardation, mental disability, or physical disability. Persons with disabilities who require alternate means for communication of program information (Braille, large print, audiotape, etc.) should contact program administrators at parkcounty@acdisaster.com or 719-247-5452 with inquiries for assistance.



Signature
With my signature below, I certify that the information provided in this application is true and accurate.