This is a written statement that permits the documentation of eligibility for the program based on any ONE or MORE of the following criteria: Household Income Financial Impact (e.g., unemployment, reduction in income, significantly increased expenses, or other financial hardship) Housing Impact (e.g., risk of housing instability or homelessness) Residence (e.g., proof of residence at an eligible rental unit in the absence of a lease/rental/sublease agreement)
Carefully read each section and complete ONLY the applicable criteria sections for which you are unable to provide the required supporting documentation and thus needing to self-attest.
Once you have filled out the applicable criteria sections you must sign the certification at the end.
The completed and signed certification can be uploaded with your online application at dfs.wyo.gov/erap.
Please note that the use of self-certifications may delay the processing of your application, require additional information from you, or result in limitations to the amount of assistance available to you.
or feel welcome to call the If you have any questions about the documentation requirements, visit the program website at dfs.wyo.gov Contact Center at 1-877-WYO-ERAP between 9am and 6pm MT, Monday through Friday.