Application for Rental Assistance - Draft

Please complete this application if you are seeking rent, mortgage or utility assistance due to a crisis or recent loss of employment. 






United Way 2-1-1 provides community information matched to your zip code and need.  You can search online at 211.org, dial 211,  text 211 to 898211 to receive a list of referrals based on your zip code

The Rental Assistance program is specifically for those individuals facing eviction from a current rental or owned home.  If you need housing or homeless services within the City of Atlanta please contact one of the Coordinated Entry Access Points listed at: https://partnersforhome.org/access-points/  or visit the Gateway Center at 275 Pryor St. SW Atlanta, GA 30303

Through this process it will be important that the primary person listed on the lease or mortgage is involved.



The Rental Assistance program is specifically for those individuals facing eviction from a current rental or owned home.  In order to qualify you must have a path forward to pay your rent or mortgage. 




Contact Information and Documentation





The following documentation will be required for us to help you. Please indicate availability



The following documentation is helpful to have. Please indicate availability




Thank you for filling out this form. Please press Submit when you are ready.