Request to Update Client Intake Information

Request to Update Client Intake Information

Choose your language at the top of the form. Elige tu idioma en la parte superior del formulario.
Use this form only if you have already submitted a Client Intake Form on our website, https://www.uwkc.org/renthelp/. If you have not submitted a Client Intake Form, we cannot update your information.
If you complete this form and were previously denied/ineligible for assistance, your answer(s) may allow us to add your household back into the selection pool. Please wait 5 business days and use our Status Checker on our website here: https://www.uwkc.org/renthelp/
If you do not have your Record ID, you can get it using the Status Checker. Once you have your Record ID, please return to this form.
Record ID*
You can find your Record ID on your "Confirmation: Rental Assistance Client Intake Form" email or with the Status Checker link above.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
What information would you like to update?*

AddressPhone NumberEmailI am now behind/past due on my rent or utility payments.Household IncomeI have received a notice from my landlord.I no longer need assistance / I want to opt-out of the program.
Address

Street Address

Unit

CityState

Zip Code
Landlord's Name

First NameLast Name
Landlord's Phone Number
Please enter a valid phone number.
Landlord's Email
example@example.com
Phone Number
Please enter a valid phone number.
Email
example@example.com
My household is past due on rent or utilities at our current address.

YesNo
What is your household's MONTHLY income?
Include monthly income for all adults 18+ in the household.
I have received a 14 or 30-Day Notice.

YesNo
I have received a "Summons and Complaint".

YesNo
By checking "Opt-Out" below, you confirm that you do not want/need rental assistance and that you want you/your household removed from the waitlist.

Opt-out
By clicking "Submit," you agree that the information you have provided is true and correct. You also agree that United Way of King County Staff are authorized to update your Client Intake Form. This update does not guarantee financial assistance from United Way of King County's rental assistance program.
Should be Empty: