1. Identification documentation, may include:

• ID such as a driver’s license
• REAL ID
• U.S. passport
• permanent resident card
• or other photo identification

2.  Documentation that supports the household income listed in the application (include one of the following):

• Current Year or Most Recent Tax Filing (form 1040) for all adults in your household
• Current Year or Most Recent W-2 Earnings Statements from all jobs for all adults
• Notice of eligibility (Current Year or Most Recent) for public benefits based on income from programs such as SNAP, food stamps, Women, Infants and Children (WIC), Medicaid, Medicare, Daycare Assistance, Housing Voucher, Section 8 Housing Assistance, and Public Housing
• Monthly paystubs for all adult household members for all jobs for the last 2 months
• Bank statements showing all adult household members’ income and earnings
• Other evidence of income for all adult household members
• Self-certification of no income

3. Documentation showing you have an obligation to pay rent at your address may include

• signed lease agreement
• documentation that shows a history of paying rent such as check copies or bank statements
• a written attestation from the verified owner or management agent of the unit
• evidence of paying utilities for the residential unit
• or other reasonable documentation

4. Documentation showing the costs for which you will request assistance. Documentation must show the amount due for each month. For outstanding payments due, documentation must show the months that are outstanding and the amount due for each month for which there is an outstanding balance. Documents may include:

• copies of utility bills for the rental unit in the household’s name
• evidence of rent payments made to the landlord through copies of checks or receipts of rent paid
• bank statements
• eviction notice issued to the household or notice of Demand for Payment that lists amounts due by month including fees
• written attestation by a landlord who can be verified as the legitimate owner or management agent of the unit with sufficient monthly detail
• landlord ledger establishing past-due amount including dates of service for which there is an outstanding balance, or
• other documentation that reasonably established a pattern of paying rent and amounts due

5. Documentation showing the household has experienced a direct or indirect negative economic impact due toCOVID-19 (such as a COVID-19 related job loss, reduced hours, reduced tips, loss of opportunities such as grants or scholarships due to the higher education institution closing, medical cost related to COVID-19, increased costs of distance learning or work from home, increased child-care, or medical expenses, etc.). Documentation must include at least one:

A. documentation that some in my household qualified for unemployment benefits (qualified due to a COVID-19 impact) that may include:

• a notice of approval for unemployment benefits
• evidence of unemployment payment
• or other relevant documentation

B. Alternatively, you may included documentation that shows the household experienced a reduction in income, incurred significant costs, or experienced other financial hardship directly or indirectly due to the COVID-19 outbreak. This may include:

• notice from an employer of reduced hours
• notice from an employer of termination
• an attestation from an employer regarding a reduction in hours, pay or termination
• paystubs demonstrating a reduction in pay
• bank statements demonstrating reduced income
• COIVD-19 related medical or funeral bills
• an attestation from a caseworker familiar with your circumstances, or
• other supporting documentation (including a self-attestation) that shows COVID-19 impact

6. Documentation showing my household is at risk of housing instability or homelessness, which may include:

• a past due utility or past due rent notice
• eviction notice
• documentation of annual income below 30 percent of the median family income for the area
• evidence of living in a hotel or motel not paid by a charitable or government program, or
• documentation that you are exiting a publicly funded institution