Quarantine/COVID-19 Assistance

*BEND/REDMOND RESIDENTS ONLY*
*COVID POSITIVE OR IN QUARANTINE/ISOLATION DUE TO COVID ONLY*

Your application is active for 30 days after submission. Please send your supporting documents to emily@thrivecentraloregon.org within that time frame.

*Funding is limited and subject to availability. Applications will be placed on the waitlist in the order received.

If we do not receive your supporting documents or hear from you via phone or email within 30 days, you must reapply.

APPLICATIONS TAKE 2 WEEKS TO PROCESS.
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
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: emily@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/8adOrbPVQgO27A8R24Mj7D/applicant-duplication-form-pdf?dt=b9M_CixL51X2yMFTyjD4
First Name *
Last Name *
Phone number *
Email address
Referral source? *
How much is your monthly mortgage/rent payment? *
Mortgage lender information or Landlord Name and address *
Landlord contact phone number & email *
BEND RESIDENTS: What are you seeking assistance for? Choose one.
REDMOND RESIDENTS: What are you seeking assistance for? Check all that apply.
Clear selection
Your home address (Must include Street, City, Zip) *
What month are you seeking assistance for? *
Have you applied or received financial assistance elsewhere for the above listed month? *
Birthdate *
MM
/
DD
/
YYYY
Social Security Number: Last 4 digits (if none, leave blank)
Are you a COCC student? *We are able to assist those within Bend or Redmond City Limits* *
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?
Total current monthly income for household *
What income does your household receive right now? (Check all that apply) *
Required
Start date and projected end of quarantine? *
I confirm 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: emily@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/8adOrbPVQgO27A8R24Mj7D/applicant-duplication-form-pdf?dt=b9M_CixL51X2yMFTyjD4

If you do not have some or any of these documents we would still like to connect with you!
BEND OR REDMOND CITY BOUNDARY LIMITS ONLY. COVID POSITIVE OR QUARANTINE/ISOLATION DUE TO COVID ONLY.

Your application is active for 30 days after submission. Please send your supporting documents to emily@thrivecentraloregon.org within that time frame.
*Funding is limited and subject to availability. Applications will be placed on the waitlist in the order received.

If we do not receive your supporting documents or hear from you via phone or email within 30 days, you must reapply.

APPLICATIONS TAKE 2 WEEKS TO PROCESS.
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