El Paso Rent Help

Tenant Application

Thank you for applying to the EP Rent Help Program. The information you provide in your application will remain confidential.

We regret to inform you that currently there are limited funds available. Please continue filling out the application so that it may be considered if additional funds become available. We will update you on the status of your application as it awaits processing.

Please submit only one application per household. Submitting more than one application per household will lead to delays processing your request for rental assistance.

AccountId

Landlord ID

Zip Code

Property Program Eligibility

Direct Assistance?

TRUE

Rental Property Name/Address Confirmation

Building/Property Name

Address

Note: If this is not your residence, please go back and select the correct property to begin the application.

I understand that rental assistance will be paid directly to my landlord at the building/property name and address above and that the program funds will be applied to past due rent and up to three months of future rent.

I confirm that I have searched for my property in the Participation Directory, and it is not listed.

Building/Property Name

Address Search

Type your address and click on the matching result. Please omit unit numbers.

Confirm your property address.

I would like to use the address from the Address Search above.I couldn't find my address or I would like to enter my address manually.

Latitude

Longitude

In County

In City

Building/Property Address

Building/Property City

Building/Property Zip Code

Help us further identify your specific rental property - do you have an apartment, unit number or lot number?

YesNo

Please enter your Apartment, Unit Number, or Lot Number:

Only include unit number. I.e. 205 or A205 (Not Apt 205, #205, or entire address again with #205)

I confirm this is the address where I currently live, and that I pay rent at this location.

Landlord/Property Manager Contact Information

Please provide the contact information for your landlord or property manager. We will be contacting them in regards to your rental assistance application.

If you have both your landlord and property manager's information, please provide the information for the person you have most responsive communication with now.

Landlord/Property Manager Name

Landlord/Property Manager Phone Number

Is this a mobile number or landline?

MobileLandline

Landlord/Property Manager Secondary Phone Number (optional)

We strongly encourage you to provide your landlord or property manager's email address. We will not sell or share their email to any other person or organization

Landlord/Property Manager Email

Landlord/Property Manager Secondary Email

Tenant Applicant Contact Information

The individual listed here as the Tenant Applicant must be responsible for making payments to the Landlord. Only one Tenant Applicant per rental property/unit will be considered.

First Name

Last Name

Primary Phone Number

Primary Phone Type

MobileHome

Text Messages

It's ok to text me at this number

Secondary Phone Number (optional)

Secondary Phone Type

MobileHome

Text Messages

It's ok to text me at this number

We strongly encourage you to provide your email address or that of a trusted friend or family member. Email is the fastest way to receive updates on your application status and is the primary way we will let you know if we need additional information to complete your application. We will not sell or share your email to any other person or organization.

Email (optional)

Secondary Email (optional)

Preferred Language

Tenant Applicant Documents

Note: If you are on a mobile device, clicking “Choose file” will allow you to take a photo of your document. You can also upload your documents from your computer.

1. Proof of Tenant Identification. Are you able to provide any of the following documents to serve as a copy of your ID?

Driver’s license or other state-issued ID, U.S. or foreign passport, School ID, Nonprofit membership ID, U.S. visa, Work permit, Legal permanent resident card (Green card), Matrícula consular, Current or expired foreign government issued ID, Office of Refugee Resettlement ID, Work ID, Library card, Handgun license, Military ID, Texas Election ID certificate

YesNo

Please upload a copy of your ID.

2. Proof of Residence at the Rental Property. Are you able to provide a copy of your current lease?

YesNo

Please upload proof of lease.

2a. Proof of Residence at the Rental Property. Are you able to upload any one of the following documents:

Current photo ID, current utility bill (water, gas, cell phone, internet, or other utility provider to applicant at rental unit address), Lease, mail from the government office, financial institution, or utility provider to applicant at rental unit address

YesNo

Please upload proof of residence.

3. Proof of Housing Instability. Are you able to provide any of the following documents to show your household is at risk?
-Past Due Rent Notice
-Letter or other communication from landlord indicating past due rent amount or eviction risk
-Eviction notice
-Lockout notice
-Past due utility bill (water, electricity, gas)

YesNo

Please upload proof of housing instability documentation

Status of Housing Situation

The program has dedicated teams to assist households with different needs. Please answer the following questions to help us determine which team will best be suited to help. These questions will not affect your eligibility for rental assistance.

Has your landlord given you or attached to your door any letters regarding a notice to vacate or a notice to appear in court for non-payment? (Optional)

YesNoI am not sure

Did the letter have a case or cause number?

YesNoI am not sure

Please provide the case or cause number if you have one.

Tenant Rent Information

For the fields below, please enter numbers only. Commas, decimals, and special characters (such as $) are not allowed. You should ROUND DOWN if needed. For example, $1,050.50 should be entered as 1050.

Please enter your current monthly rent amount. If you are a resident of subsidized housing, include only the non-subsidized monthly payment you are responsible for, not the full rent amount.

Please add details of your past-due rent below. Enter the total amount you owe for each month, including past due utilities and home energy costs (electricity, gas, water, sewer, trash removal and other energy costs, such as fuel or propane) if you pay these costs directly to your Landlord as part of your monthly rent amount. At least some of your rent amount must be past due in order to submit this application. Do not apply for a month you have previously received rental assistance for in a prior round of EP Rent Help funding or from another program/funding source.

Month

Amount Due/Requested

Amount difference

Total Past Due Amount:

Months

Future Rent Information

The El Paso Emergency Rental Assistance Program is able to cover up to three months of future rent. NOTE: This assistance is only available if you expect to remain in your current residence for one-two months.

Would you like to request up to three months of future rent?

YesNo

Requests for Future Rent

Month

Balance Due

Amount difference

Tenant Eligibility Information

How many people are in the household (including yourself and all children and adults living in the rental property)?

123456789+Please include all household members currently living with you for rental assistance determination. This information will not be shared with any other organization.

How many bedrooms does your home have?

Efficiency1234567+

Are you or a member of your household (adult or child) currently receiving benefits from any of the following programs?

MedicaidPublic Housing Assistance (El Paso Housing Authority)Supplemental Nutrition Assistance Program (SNAP) – Food Stamps – Lone Star CardTemporary Assistance for Needy Families (TANF)Supplemental Security Income (SSI)Head Start or Early Head StartNational School Lunch Program (NSLP)Women, Infant, and Children Program (WIC) Federal Pell GrantVA Pension or DisabilityLow Income Home Energy Assistance Program (LIHEAP)Tribal Assistance Social Security Disability Insurance (SSDI)None

Do you have an award letter or other proof of enrollment for one of the programs selected above? Note: award letters must be dated on or after January 1, 2020.

YesNo

Please upload a copy or photo of the award letter or other proof of enrollment.

What is your current total monthly gross household income (before taxes)? You should include all income for every adult over 18 years of age.

per month

Please enter numbers only and round to the nearest dollar. Commas, decimals, and special characters (such as $) are not allowed.

Current Sources of Household Income

Which of the following sources of income make up your current monthly income? Please include income types for ALL members of the household who are 18 years of age or older.

Wages/SalarySelf-employment income (monthly financial statement or self-attestation)Unemployment income (TWC unemployment check or termination letter)Retirement/pension incomeSSI/disability incomeSocial Security incomeAlimony/child support incomeOther incomeNone of the above. My household does not currently receive any income.

Please explain.

Please upload a letter of termination from a former employer or other proof of no income

Are you able to provide proof of current income documentation?

YesNo

Please select one of the following reasons:

My employer cannot provide or refuses to provide documentationI am self-employedI get paid in cash

Proof of Salary/Wages

Please upload proof of salary and wages income for all household members 18 years of age or older who receive this type of income. Acceptable documents are documents demonstrating 2020 income: -2020 tax return listing all adult household members -2020 W2(s) for every job held by each adult household member -Unemployment compensation statement showing 2020 income OR -Paystubs for the last 30 days -Letter from employer verifying monthly salary/wages

Proof of Self-Employment Income

Please upload a Profit and Loss ledger for the last 30 days for all household members 18 years of age or older who receive this type of income

Proof of Unemployment Income

Please upload a current TWC unemployment check or unemployment compensation statement OR letter from employer of termination from employment for all household members 18 years of age or older who receive this type of income.

Proof of Retirement and/or Pension Income

Please upload current proof of retirement and/or pension income for all household members 18 years of age or older who receive this type of income.

Proof of Social Security Income

Please upload a current award letter or other proof of Social Security income for all household members 18 years of age or older who receive this type of income.

Proof of SSI/Disability Income

Please upload a current award letter or statement of benefits of SSI/SSDI for all household members 18 years of age or older who receive this type of income.

Proof of Alimony and/or Child Support Income

Please upload a current award letter or other proof of alimony and/or child support income for all household members 18 years of age or older who receive this type of income.

Proof of Other Income

Please upload proof of other current income for all household members 18 years of age or older who receive this type of income.

Proof of Economic Impact

What has been the economic impact to your household because of the COVID-19 pandemic? Select the option which best describes your situation.

Loss of job (was laid off or furloughed)Reduction in wages (because work hours were reduced)Reduction in business income (only choose this if self-employed)Loss of income because of COVID-19 health reasons (became ill or in high health risk category and unable to work)My household is on a fixed income, and during the COVID-19 pandemic, my household expenses increased due to personal protective equipment (gloves, masks, hand sanitizer, etc.), grocery delivery fees, or higher prices for food and other basic household goods.My household had significant expenses due to COVID-19 such as medical costs, child care and/or dependent expenses.Household has not experienced an economic impact as a result of the COVID-19 pandemic.

Are you able to provide proof through one of the following documents that your household experienced a negative economic impact due to COVID-19?

Unemployment statement dated on or after March 1, 2020.
Letter from employer indicating termination of employment, furlough, or a reduction in work hours dated on or after March 1, 2020.
Loss of business income, if self-employed or own your own business
Two different pay stubs showing a reduction in income over time
Notice of business closure (letter of closure from employer, closure announcement in a newspaper or online publication, etc.)
Documentation of significant costs incurred, such as child or dependent care or medical expenses
Other proof of financial hardship

YesNo I do not have any of the options listed above

Please provide a reason for why you are not able to provide documents:

My employer cannot provide or refuses to provide documentationMy previous employer closed and there is no one to contactI am self-employedI get paid in cashI do not have any incomeMy household is on a fixed income, and during the COVID-19 pandemic, my household expenses increased due to personal protective equipment (gloves, masks, hand sanitizer, etc.), grocery delivery fees, or higher prices for food and other basic household goods

Upload proof of negative economic impact

Unemployment

Are you or any of your household members currently unemployed?

YesNo

If so, what date did the household member become unemployed?

Demographics

We have the following person listed as the primary applicant:

Please select the following for

What is the race of the primary applicant? Check all that apply.

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite

What is the ethnicity of the primary applicant?

Hispanic or LatinoNon-Hispanic or Latino

What is the gender of the primary applicant?

FemaleMaleNon-binary / otherPrefer not to disclose

What is the date of birth of the primary applicant? (mm/dd/yyyy)

Fund Delivery

If your application meets the eligibility requirements and is approved to receive a payment, please select your preferred method of payment:

Electronic Funds Transfer – payment is directly deposited into the bank account within 3-5 business days after your application is approved for paymentPayment by check - if the eligible Tenant applicant is unable to receive payment by ACH (direct deposit), then a paper check can be printed and the Tenant can pick-up the check in person. Check pick-ups are by appointment only and will be scheduled once the check has been processed

Electronic Funds Transfer

Please note: If you enter a prepaid account, be aware that your bank or financial institution may charge fees and/or use these funds to cover any negative balances on your account.

First Name of Account Holder

Last Name of Account Holder

Name of Bank/Financial Institution

Account Type

Routing Number

Confirm Routing Number

Routing #

Account Number

Confirm Account Number

Account #

I understand that I will be receiving an ACH to the bank account provided

I understand that if the incorrect amount is deposited, I will have to inform the agency and return funds (if necessary)

Click here to get an example on how to find your account and routing number on a check

How to find your account and routing number on a check

You can find your routing number and account number on a voided check. Please see the example below.

Sample Check

Payment by check

Check pick-ups are by appointment only and will be scheduled once the check has been processed.

Tenant Certification and Signature

You must check ALL of the following in order to successfully submit this application.

I certify that I am currently living in the rental property/unit at the address identified above and that I use this property for residential purposes. I understand that any assistance provided by the Program is for the purpose of paying rent.

I certify that except for the balance of past due rent, I am in good standing without any current defaults (monetary or nonmonetary) with my landlord.

I certify that the amount requested is not covered by a monthly federal housing subsidy (housing voucher, public housing, or project-based rental assistance).

I understand that rental assistance will be paid directly to me if my landlord fails to enroll in the program and that the program funds must be used for past due rent and up to three months of future rent as requested in this application.

I understand that any assistance that is determined to be duplicative must be repaid.

I certify that all of the information and certifications listed above are correct and true and I understand that if I provide false information, all funds paid to me from the Program will have to be returned and I may be subject to further legal action.

Please type your name below to serve as your electronic signature.

If you have technical issues with the website or application form, please email eprenthelp@bakerripley.org.

Tenant Program Eligibility

City & CountyCounty OnlyCity OnlyNot Eligible

Form Language

FMR