The following documents may all be required to process your application. Provide all that are available to expedite your application's review:
☐ Government-issued ID for all adults in household ages 18 and older
☐ Birth Certificate, SS card, shot record or school ID for all children in household ages 17 and under
☐ Application form signed by all adult household members
☐ Signed HMIS authorization release form listing all household member
☐ Duplication of Benefits form signed by all adult household members
☐ Valid, complete, signed rental agreement (even for utilities only)
Proof of Income/Unemployment (provide all that apply)
☐ Paystubs (2 months)
☐ 2020 Income Tax Return
☐ 2020 W-2 Forms
☐ 2020 1099 Forms
☐ 2021 SSI Award Letter
☐ Unemployment verification
If applying for rental assistance:
☐ Lease and assistance request dates correspond to program eligibility time frame
NOTE: Any past due amount cannot have occurred prior to March 13th, 2020.
☐ Leased property does not have homestead exemption (verify through Pasco County Property Appraiser’s website): https://search.pascopa.com/
☐ Parcel ID card from Pasco County Property Appraiser website
☐ Rental Authorization form completed by landlord (ensure it matches lease information)
☐ W9 form completed by landlord (ensure it matches lease information)
☐ Duplication of Benefits form signed by landlord.
If applying for utility assistance:
☐ Copy of Utility statement(s) to include:
- Customer name
- Account number
- Service address corresponding to property address
- Amount due
☐ Copy of any statement(s) corresponding to past-due amount for which assistance is requested
NOTE: Any past due amount cannot have occurred prior to March 1, 2020. Applicant must provide all bills corresponding to any past-due amount. Future utility payments are not eligible for H.E.A.R.T. assistance