Tenant-Based Rental Assistance Request

HOME Tenant-Based Rental Assistance (TBRA)

In Gwinnett County
Another Chance of Atlanta, Inc. is committed to preventing homelessness and supporting housing stability across metro Atlanta, including Gwinnett County, Georgia. Through our rental assistance and housing stability programs, we focus on helping families and individuals who are experiencing financial hardship and are at risk of losing their homes.

Our Tenant-Based Rental Assistance is provided only when funding is available, and all assistance is granted based on program eligibility requirements and capacity. Applicants are required to submit documentation such as:

Identification
Proof of citizenship
Proof of Gwinnett County residency
Proof of income or EBT/SNAP benefits
A current rental lease agreement

Please note that this submission is only a request for rental/security deposit assistance and does not serve as a formal application for assistance.

If funding is available and your request meets the initial criteria, our team may contact you with additional steps regarding the application process.
Which county do you live in?*

Gwinnett CountyA Different County
Which type of assistance are you seeking?*

Rental Assistance: I am past due on rent.Security Deposit Assistance: I am moving into a new home.
Contact Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Rent
Please explain why you are needing Rental Assistance*
How much is your rent each month?*
How many months are you behind?*
What is the total amount that you are behind?*
Our agency is only able to provide assistance for the past-due balance of the CURRENT month’s rent.*

I understand
Once you are approved, our agency may be able to provide assistance AGAIN during a 12-month period, depending on the availability of funds.*

I understand
Another Chance of Atlanta requires households to contribute at least 30% of their adjusted monthly income toward their rent. If approved for Tenant-Based Rental Assistance (TBRA), our program may cover the remaining eligible portion of the rent.

Example:

Monthly household income: $2,000
Tenant contribution toward rent (30%): $600
Monthly rent: $1,200

In this example, the tenant would be responsible for paying at least $600, and the TBRA program may cover the remaining $600 toward the rent, if approved.

Please note that all assistance is subject to eligibility requirements, funding availability, and program guidelines.
Based on the above paragraph, I have a understanding of how Tenant-Based Rental Assistance (TBRA) works. I understand that Another Chance of Atlanta may not be able to cover my full past-due balance but only a portion of it.*

I understand
If you have questions about how our TBRA program works or if you have a certain situation you would like us to know, please explain here:

Landlord Information
What is the name of your apartment complex?*
What is the name of the property manager or leasing consultant?*

First NameLast Name
What is their phone number?*
Please enter a valid phone number.Format: (000) 000-0000.
What is their email address?
example@example.com

Understanding

Please review each section carefully and in its entirety
I understand that submitting this request for assistance does not guarantee that I will receive financial assistance.*

I understand
I understand that if Another Chance of Atlanta has selected my request for financial assistance, I will be contacted within seven (7) days to begin the assessment process.*

I understand
I understand that to qualify for rental assistance, my household income must be at or below 60-80% of HUD’s Area Median Income (AMI) for my area if I am working or receiving income.*

I understand
I understand that if I am not working and unable to pay my rent/security deposit, Another Chance of Atlanta may cover up to 100%, provided the rent amount is within the HUD Fair Market Rent (FMR) standard.*

I understand
Financial assistance will only be approved if the rent amount listed on the signed lease agreement is at or below HUD’s Fair Market Rent (FMR) for the applicable zip code. If the rent exceeds the FMR limit, rental assistance cannot be approved or processed.*

I understand
I understand that this is NOT an application but only a request. Another Chance of Atlanta will contact me ONLY if they are able to move forward with my request.*

I understand
I understand that if I am selected for financial assistance, I must submit all required documents to Another Chance of Atlanta within 72 hours. Failure to submit mandatory documents within this timeframe may result in denial of assistance.*

I understand
I understand that upon approval, Another Chance of Atlanta will deliver payments directly to my apartment manager. Payments will not be issued directly to me.*

I understand

Is there any additional information you believe would be important for us to consider when reviewing this request?
How did you hear about this program with Another Chance of Atlanta, Inc.?*
My signature below affirms that I understand that this request for financial assistance does not guarantee that I will receive help. I understand that not everyone who sends a request is approved. I also understand that submitting this request does not mean Another Chance of Atlanta is required to pay my rent/security deposit. If my request is selected for review, I agree to submit all required documents in a timely manner. I understand that I MUST be a resident of Gwinnett County to be considered for assistance and that I may be approved or denied.
Signature*
Should be Empty:

HOME Tenant-Based Rental Assistance (TBRA)

Contact Information

Rent

Security Deposit

Documents

Income / Employment

Landlord Information

Understanding