City of St. Louis Impacted Tenants Fund Application

  • City of St. Louis Impacted Tenants Fund Application

  • The Impacted Tenants Fund assists eligible City of St. Louis renters who have been forced to relocate from their residences due to building condemnation or the May 16th tornado.

    Before completing this application, please verify that the impacted dwelling is located within the City of St. Louis.

    This application can be completed and submitted online below, or you may download a PDF version here. Completed paper applications can be delivered to Employment Connection’s office Monday through Friday from 8:00 a.m. to 4:30 p.m. at:

    Employment Connection
    2838 Market Street
    St. Louis, MO 63103

    Please be sure to submit your application along with all required documentation:

    • Valid photo ID
    • Proof of tenancy (signed lease agreement) (If you do not have a lease agreement, please request a landlord/property management letter using the contact email listed above)
    • Completed Self-Attestation Form

    Applications will be collected and reviewed on a first-come, first-served basis.

    Once your application and required documents are submitted, Employment Connection will work with the City of St. Louis to verify eligibility and will follow up with you regarding payment.

    For questions regarding this application, please contact Andrea Lewis, Employment Connection’s Manager of Housing Services, at (314) 333-5627 or email impactedtenants@employmentstl.org.

    For other questions regarding the Impacted Tenants Fund, please contact the City of St. Louis Department of Human Services at human-services@stlouis-mo.gov  or (314) 612-5900.

  • Applicant Information

    The applicant’s name must appear on the lease as the lease holder of the condemned/damaged unit.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Qualifying Event

    Requests for aid must be tied to a qualifying event that can be confirmed through official city records.
  • I am applying for aid due to:*
  • Date of Event
     - -

  • Date of Application

  • Date Application Submitted*
     - -

  • Impacted Address

    Requests for aid must be for qualifying events on addresses located within St. Louis city limits. This address must appear as written on the lease.
  • Lease Term Starting Date
     - -
  • Lease Term Ending Date
     - -

  • Attestation of Non-Occupancy

    The impacted address must be uninhabitable in order to qualify for aid.
  • Occupancy Status*

  • Landlord/Property Manager Information

    Please provide as much detail as possible to support your request.
  • Format: (000) 000-0000.

  • Property Owner Information (if different from Landlord/Property Manager)

    Please provide as much detail as possible to support your request.
  • Format: (000) 000-0000.

  • Income and Household Information (required information)

  • Are you (the lease holder) currently employed?*
  • What are the sources of income for the household/family? (Please select all that apply)
  • Ethnicity
  • Race (Please select all that apply)

  • Voluntary Information for Reporting Purposes

    This is information we collect to evaluate the impact of the program. You are not required to share this information in order to be eligible for the program.
  • Have you found another place to live?
  • Is your new residence in the City of St. Louis?

  • Submission of Documents

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  • Self Attestation Form

    The follow section is required to verify impact related to the May 16th 2025 tornado or city condemnation.

  • Attestation of Residency & Impact

  • I,   *   *   , certify that:

  • I resided at the above-listed address at the time of:*
  • I experienced impact because of the above event, which may have included (check all that apply):*

  • Acknowledgement

  • I,   *   *   , hereby attest that the information I have provided is true, accurate, and complete to the best of my knowledge. I understand that Employment Connection, the City of St. Louis, and its Department of Human Services are relying upon my statements herein, and any falsification, omission, or concealment of material fact may subject me to administrative or civil liability to the City of St. Louis, which includes but is not limited to repaying the one-time assistance I may have received under the Impacted Tenants Fund program.

  • Current Address*
  • Format: (000) 000-0000.

  • Signature

  • By signing below, I understand that providing false, misleading, or intentionally incomplete information on this form constitutes fraud and I may be subject to civil or criminal penalties under 18 U.S.C. 287, 1001, and 31 U.S.C. 3729, as well as Missouri state law, including but not limited to RSMo §§ 575.040 and 575.060.

  • Today's Date*
     - -
  • Should be Empty: