Eligibility Questionnaire
Rental/Eviction Assistance
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Email *
First Name *
Last Name *
Phone Number *
Are you a resident of Los Angeles County? *
Are you between the ages of 18 and 25 years of age? *
Are you in need of rental or mortgage assistance and have a verifiable hardship? *
Have you or someone in our immediate family had a hardship directly related to COVID-19? *
Do you have children living with you? *
How many people are in your household? *
What is your current income? *
Have you received any form of financial assistance elsewhere? *
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