Rent/Utility Assistance Application
*NEW APPLICATIONS TAKE AT LEAST 2-3 WEEKS TO PROCESS AFTER YOU PROVIDE ALL DOCUMENTS*

*Please Note that oregonrentalassistance.org also provides rent assistance with a possibly a shorter delay*

*FUNDING IS ALWAYS SUBJECT TO CHANGE & AVAILABLE UNTIL FUNDS ARE DEPLETED*

*This funding can NOT assist Housing Choice Voucher holders or those residing in non-stationary/mobile units.*

*Your application is active for 30 days on the waitlist and will be processed once all documentation is received.*

*If we do not receive your necessary documents to rent@thrivecentraloregon.org, or hear from you via phone or email within 30 days, you must reapply.*
STEP 1: Do I qualify?
You are currently living in CENTRAL OREGON.
IF YES, CONTINUE TO STEP 2 to verify your Average Median Income (AMI) is at or below the 50% income cap in your county.

*IF YOUR AMI IS ABOVE 50% APPLY HERE: https://www.neighborimpact.org/covid-rent-relief/*
I live in Central Oregon: (choose one) *
STEP 2: To be eligible for assistance your household annual income (pre-tax) must fall at or below the following county guidelines:
DESCHUTES COUNTY Average Median Income (AMI) is at or below the 50% income cap:
1 person household: $28,150
2 person household: $32,200
3 person household: $36,200
4 person household: $40,200
5 person household: $43,450
6 person household: $46,650
7 person household: $49,850
8 person household: $53,100

CROOK COUNTY Average Median Income (AMI) is at or below the 50% income cap:
1 person household: $22,550
2 person household: $25,800
3 person household: $29,000
4 person household: $32,200
5 person household: $34,800
6 person household: $37,400
7 person household: $39,950
8 person household: $42,550

JEFFERSON COUNTY Average Median Income (AMI) is at or below the 50% income cap:
1 person household: $22,550
2 person household: $25,800
3 person household: $29,000
4 person household: $32,200
5 person household: $34,800
6 person household: $37,400
7 person household: $39,950
8 person household: $42,550



*IF YOUR HOUSEHOLD ANNUAL INCOME IS ABOVE 50% APPLY HERE: https://www.neighborimpact.org/covid-rent-relief/


**THIS APPLICATION IS FOR RENT or RENT/UTILITY ASSISTANCE ONLY** IF YOU ARE IN NEED OF MORTGAGE ASSISTANCE CLICK HERE:
STEP 3: Instructions & Documentation
Please gather the documents listed below, we will process your application once you submit all documents we will process your application in the order of when it was received.

After you've completed the application, please email these 6 documents to: rent@thrivecentraloregon.org
**ONCE YOU HAVE PROVIDED ALL DOCUMENTS YOUR APPLICATION COULD TAKE AT LEAST 2-3 WEEKS TO PROCESS**

1. ID: Identification for ALL ADULTS in household (Drivers license/State ID, Passport, Employment visa, or MICA- green card)
2. Proof of income/loss 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. Rental Agreement / your most recent utility bill.
5. '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
First Name *
Last Name *
Phone number *
Email address
Are you a COCC student? *
Are you receiving a Housing Choice Voucher for rent? *
What are you seeking assistance for? This funding can NOT assist with *just* utility bills or mortgage. *
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