HomeMy WebLinkAboutCRA-R-25-0070 Backup_ERAP 2026 Tenant Emergency Assistance ApplicationSEOPW CRA
EMERGENCY RENTAL ASSISTANCE PROGRAM ("ERAP") APPLICATION
Full Name (Primary Resident):
Address:
Email: Phone: DOB: / /
Is someone helping you with this form: ❑ Yes ❑ No
If yes, name of person assisting in
completing this application
Phone
E-mail
Relationship
Description of Financial Hardship (Examples can include loss of employment, divorce, household member
addition, sickness in the family, unmanageable rent increase, etc. Please elaborate within the allotted space):
Household Members (one application per household):
Are there additional household members that are currently living in unit? ❑Yes No
Please list all household members below, including self. Please place the primary tenant first. If necessary,
you may write down any additional household members in the available white space on the page.
Member Name
Relationship
Date of Birth
Age
Sex
Disabled
(YIN)
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Annual Income:
Does any household member have income? ❑Yes No
If yes, what is the total gross annual income of all members?
Please list all income earning household members, including self.
Member Name
Income Source
Amounts
Frequency
Lease:
What are the terms of the lease?
El Annual Agreement
El Month to Month El Other:
Please provide the following information on your current lease/tenant agreement:
Contracted Rent Amount:
Lease start date:
Lease end date:
Number of Bedrooms:
Unit Address:
Is the address located within our jurisdiction map? (Please refer to the attached map on back)
❑ Yes ❑ No
Highest Area Median Income allowed for this program will be at 80%. Please refer to AMI
chart (INSERT 2025 TABLE)
Required Documents List:
Photo Identity Verification (at least one of the following copies for all household members for which it applies)
• Driver's License • Tribal CDIB Card
• School, or State Issued ID • Veteran Identification
• If ID address does not match applicant • Passport
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unit address, then proof of utility bill
under said unit address, in addition to
ID, will suffice
Monthly Income (a copy of ALL the following for each household member where it applies)
• One pay stub, at minimum, for wages dated within the last sixty (60) days, demonstrating a full
month's worth of consecutive pay
• Social Security benefits letter dated within the last 12 months
• Unemployment benefits letter dated within the last 60 days
• Child Support Payment Report from the Florida Department of Health and Human Services
Contact Information:
Email: cra@miamigov.com
Website: seopwcra.com
Phone number: (305) 679-6800
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