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Housing Assistance Grant Application

This application is only for the person named below.

Full Name

Have you already paid the security deposit or past due rent?

Unfortunately, this program is only available to those who have not paid their security deposit or past due rent.

What type of housing are you moving into or current live in

What is the other housing?

Which fire impacted you?

Have you received (or will your receive) financial assistance for new housing or past due rent from another source?

Who are you receiving housing assistance from?

How much financial assistance are you receiving

Mobile Phone Number

Numbers only, no hyphens

Gender

How would you describe your race/ethnic background (please note this is an optional question for statistical purposes and will not impact the assessment of your loan application)?

White/Caucasian(Non-Hispanic/Latinx)

Black/African American (Non-Hispanic/Latinx)

Hispanic/Latinx

Asian/Pacific Islander (Non-Hispanic/Latinx)

Indigenous (Non-Hispanic/Latinx)

Other

Household Information

How many people are in your household/family (including you)?

Are you head of household?

How many of your own children under the age of 18 are living in the home with you?

Have you ever been homeless before?

As a child or a teen were you ever part of the foster care system?

Enter the amount you are requesting for the security deposit or past due balance?

Please upload or take a picture of the total security deposit amount or past due balance

Please upload or take a picture of your NEW or CURRENT rental agreement

Landlord Information

Are you renting from a family member or friend?

If the security deposit or past due balance is approved, we will contact your landlord and pay them directly. Please enter your new or current landlord's contact information below.

Landlord name

Landlord Email

Landlord Phone

Please enter only numbers for the phone number

Grant ID

If you have questions please contact us at stepfund@betterangels.la