COVID-19 Assistance Application

*BEND/REDMOND RESIDENTS ONLY*

*These funds are subject to change and will be available until funds run out*

*ALL 2021 APPLICATIONS CURRENTLY TAKE 2 WEEKS TO PROCESS*

*We are NOT able to assist with rental deposits as of 1/15/21*

Your application is active for 30 days and is placed on the waitlist in the order of when it was received, if we do not receive your supporting documents to rent@thrivecentraloregon.org, or hear from you via phone or email within 30 days, you must reapply.
Do I qualify?
If you are a resident living within BEND OR REDMOND CITY LIMITS.
If you have been impacted by COVID-19.
If your Average Median Income (AMI) is at or below the 60% income cap:
1 person household: $32,220
2 person household: $36,780
3 person household: $41,400
4 person household: $45,960
5 person household: $49,680
Instructions
FIRST Check if you are within city boundaries here:
Bend City: https://maps.ci.bend.or.us/html5viewer/?viewer=publicviewer
Redmond City: https://data.deschutes.org/datasets/city-limits?geometry=-121.228%2C44.250%2C-121.174%2C44.261

After completing the application, please email these 6 documents to: rent@thrivecentraloregon.org

1. Identification for all adults in household (Drivers license/State ID, Passport, Employment visa, or MICA- green card)
2. Proof of income from last 30 days for all adults in household (or proof of loss of income, Unemployment Benefits)
3. Bank statement from last 30 days for all accounts (or last statement received)
4. Mortgage statement or Rental Agreement
5. Photos of your unit to verify habitability (Kitchen, Bathroom, Living room, Bedroom(s)
6. 'Duplication of Services' form, please fill out and return to us: Visit link on a computer to fill this out last:
https://dochub.com/jennathrivecentraloregon/r4D6EkZVZoZQJ4pwpQXW7O/applicant-new-duplication-of-benefits-form-pdf?dt=z22br4QVd1gsw6L-bBsg
How to complete a CDBG Application Video
Disclaimer; 2021 APPLICATIONS ARE AT 2 WEEKS OUT. BEND/REDMOND CITY LIMITS ONLY
*When funds can be disbursed they will be available until funds run out* At this time we are only able to accept those within Bend or Redmond City Limits.

Your application is active for 30 days and is placed on the waitlist in the order of when it was received, if we do not receive your supporting documents to rent@thrivecentraloregon.org or texted to 541-527-6636, or hear from you via phone or email within 30 days, you must reapply.
First Name *
Last Name *
Phone number *
Email address
Are you a COCC student? *We are able to assist those within Bend or Redmond City Limits* *
How much is your monthly mortgage/rent payment? Do you owe backpay? If you owe backpay, please also state how much. *
Mortgage lender information or Landlord Name and address *
Landlord contact phone number & email *
What month are you seeking assistance for? **Processing time is currently at least 2 weeks out** *
Your Mortgage/Rental address (Must include Street, City, Zip) *
Did you apply for or receive financial assistance for Rent or Mortgage (from NeighborImpact: NI or Latino Community Association: LCA ) for the month you are seeking assistance for? *
Birthdate *
MM
/
DD
/
YYYY
Social Security Number: Last 4 digits (if none, leave blank)
Gender
How many adults are in your household? *
How many children (under 18) are in your household? *
Did anyone in your household ever serve in the US Military?
Do you or anyone in your household have a disability? (Including physical or mental disability, chronic health issue, HIV/AIDS, substance use disorder or intellectual/developmental disability?)
How do you identify your race/ethnicity?
What income does your household receive right now? (Check all that apply) *
Required
Total current monthly income for household *
Explain how your household/income has been affected by COVID-19 *
Self-attestation and consent: I attest that everything in this application is true, to the best of my knowledge. I consent to allow Thrive Central Oregon to process my application for COVID-19 rental/mortgage assistance (Please type your name and today's date below) *
Neighbor Impact consent: I consent for Thrive Central Oregon to share my name with Neighbor Impact in order to verify whether I have already received funds for the month(s) I am applying for. *
Next Step: Gather your documents and email/text them to Thrive
After completing the application, please email these documents to: rent@thrivecentraloregon.org

1. Identification for ALL adults in household (Drivers license/State ID, Passport, Employment visa, or MICA- green card)
2. Proof of income from last 30 days for all adults in household (or proof of loss of income, Unemployment Benefits)
3. Bank statement from last 30 days for all accounts (or last statement received)
4. Most Recent Mortgage statement or your signed Rental Agreement
5. Photos of your unit to verify habitability (Kitchen, Bathroom, Living room, Bedroom(s)
6. Required 'Duplication of Services' form: please fill out and return to us: Visit link on a computer to fill this out last:
https://dochub.com/jennathrivecentraloregon/r4D6EkZVZoZQJ4pwpQXW7O/applicant-new-duplication-of-benefits-form-pdf?dt=z22br4QVd1gsw6L-bBsg

If you do not have some or any of these documents we would still like to connect with you!
REAPPLYING for assistance?
If you have received financial assistance from us and completed an application in the past, we will still need you to fill out a new application to place you in line. Here are the updated documents you will need to provide to us when you reapply:

For folks who are reapplying for assistance we will need updated:
1. Income Verification (even if you are still receiving no income or the same amount)
2. If you are seeking Utility or Mortgage Assistance, we need your most up to date bill
3. New Duplication of Benefits form filled out, Visit link on a computer to fill this out last and send it to us:
https://dochub.com/jennathrivecentraloregon/r4D6EkZVZoZQJ4pwpQXW7O/applicant-new-duplication-of-benefits-form-pdf?dt=z22br4QVd1gsw6L-bBsg

A reminder that Rent assistance for 2021 is currently taking at least 2 WEEKS to process, as we are processing backpay applications first
Disclaimer
BEND OR REDMOND CITY BOUNDARY LIMITS ONLY.
You must reapply each month you are seeking assistance.

2021 ASSISTANCE IS AT LEAST 2 WEEKS OUT AT THIS TIME.
BACKPAY APPLICANTS WILL TAKE PRIORITY.

*FUNDING IS LIMITED: When funds can be disbursed they will be available until funds run out*

*We will contact you TWICE, if you do not respond your application will be declined and you will have to reapply*

Your application is active for 30 days and is placed on the waitlist in the order of when it was received, if we do not receive your supporting documents within 30 days, you must reapply.
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