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Events & Drives
When is your rent payment due?
I have an eviction notice in hand
I'm facing eviction
Due within 10 days
In which type of housing do you currently live?
Are you living in subsidized housing, recovery housing, transitional housing, an organized group home, or does the amount of rent change if your income changes?
How much is your rent (not including utilities and fees)?
How many bedrooms do you have?
Do you pay utilities?
Any utilities or fees included in your rent amount?
What is the gross monthly income for all adults in your household (last 30 days)
How many adults and children live in your household?
Is there anyone in the household over 58 years old?
Has anyone in your household experienced domestic violence in the last 12 months?
Is anyone in your household pregnant?
If yes, due date?
Are all adults on the rental agreement?
Do you and your roommates have separate rental agreements?
How much do you need help with?
Do you have money available to contribute to your rent arrears?
If so, how much?
Do you owe previous months?
Are you receiving / have received any housing assistance from CCS or any other agency in the last 12 months?
If yes, who provided the assistance and when did they provide it?
Why were you not able to pay rent this month?
How do you intend to pay next month's rent?
Thanks for submitting!
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