NV Georgetown Housing assistance policy C1 App

Housing Assistance Program

On, March 26, 2022, the Native Village of Georgetown (NVG) established a Housing Assistance Program using funds from the American Rescue Plan Act (ARPA) to assist NVG members adversely impacted by the economic impacts of the ongoing pandemic. In developing program guidelines, NVG strived to balance the urgency of the need of our members with a process that will ensure transparency, efficiency, and the responsible management of ARPA funds.

The COVID-19 pandemic has underscored the need for safe and sanitary living conditions to improve public health. The Native Village of Georgetown, recognizing that there is a need to assist our members, authorizes the payment for Housing.

This program is funded by ARPA-BIA-Housing Improvement and may be altered at any time based upon guidance or notification from the U.S. Department of Interior or by the relevant guidelines published by the U.S. Department of Housing and Urban Development.

The funds must be used solely for economic damages due to the COVID- 19 public health emergency. Only one application per household. Members who have active debts to a bank loan or a landlord.

Applicants must self-certify that no members in the applicant's household have used a similar program or obtained duplicate relief.

The NVG reserves the right to amend the criteria or procedures of this program as may be required to conform with state and federal guidelines.

The assistance will be used for a one-time payment of:

Mortgage assistance up to $600
Rental assistance up to $600

Applications should be submitted to the Tribal Liaison or mailed to:

Native Village of Georgetown

5313 Arctic Blvd, Ste 104

Anchorage, AK 99508

The application may be digitally signed. NVG staff may assist the member in filling out applications, but the accuracy of the information provided remains the applicant's sole responsibility. It is the applicant's responsibility to notify NVG staff of any changes to their application.

Full Member Name

Phone number

Email Address

example@example.com

Enrollment number

Mailing address

Indicate where grant award you wish to apply for on behalf of your household

Rental AssistanceMortgage Assistance

Landlord Name

Landlord Billing Address

OR

Mortgage Company Name

Mortgage Billing Address

Mortgage Account #

I certify the COVID 19 public health emergency has impacted me. (Inital)

I certify that I have not applied for a similar program. (Inital)

I certify that I am the only member of my household that can apply. (Inital)

I authorize NVG to make payments to landlords/Mortgage companies on my behalf. (Inital)

**Please note: This Assistance program is only open to NVG members**

NVG recognizes the need to support tribal members due to the COVID-19 public health pandemic. The individual assistance is aimed to help NVG members economically impacted by the COVID-19 public health emergency; by applying, there is no guarantee or obligation that funds will be awarded. The application will be kept confidential and remain within the NVG. Please answer each question to the best of your knowledge.

Applications may be submitted by email to Info@georgetowntc.com hand-delivered, or mailed to the address above. Incomplete applications will be rejected. Applicants will be notified of the status of their application via email to the contact person listed on the application. The applicant's sole responsibility is to determine or seek independent advice on the tax implications of receiving the funds.

I certify that the information provided in this application is true and accurate. I agree to verify the information provided in this application and to provide additional information to NVG if requested.

Print Name

Signed

Date

Housing Assistance Application