Culturally Specific Partner Page
Emergency Rent Assistance
As of January 2026, Emergency Rent Assistance is available to Washington County residents who meet ALL of the following criteria:
Have received a non-payment of rent notice from their landlord
Household has not received emergency rent assistance in the past twelve months
Household is below the 50% Area Median Income
Please download and fill out all pertinent documents for each household you refer for rent assistance. Each document must be completely filled out. Once the referral packet is complete, please email it to our Emergency Rent Team at (rentpartners@caowash.org). Our team will correspond with you regarding any questions or missing documents.
Below you will find a list and explanation of all the documents to be completed.
Emergency Rent Assistance Documents
Attached is the checklist on ALL the documents needed for a complete Rent Assessment
Household Rent Assessment 12.05.2024
Please fill this document out completely with information for everyone residing in the household
If the applicant household has more than six members please add the additional member(s) on this form and attach it to the e-mail.
A copy of identification for all adults (18 and older) in the household
Income Documentation *07.11.2024
This document explains what we will need you to collect to verify the household's income eligibility. (See below for examples)
Income Self-Certification Form 07.01.2024
This form is used when some or all documents supporting household income are not readily available. Household members may be combined on this form. While not all income supporting documents may be readily available the interviewer should capture those that are. All efforts to obtain the client's signature should be made, if the client's signature is not available please make a note on the reason why. (ex. The client does not have access to a computer or smartphone)
Notice for NonPayment of Rent
A copy of the non-payment notice from the landlord showing the past due rent amount, date, client name, and address.
Rental Contract / Lease
A current signed copy of the Rental Contract/Lease
Household Eligibility Self-Certification 01.31.2024
Please fill out this document for ALL assessments as proof of the household's eligibility. Check and enter all information that applies.
See below for other languages
Landlord Release of Information
Please fill this out with the landlord's information so we may contact them if we have any questions.
Client signatures
All client signatures can be obtained verbally. Please write "Verbal Consent Given By: 'name of ct'" on the signature line
Rent assessment Training in English
Passcode: w^u@0+Dn
Rent Assessment Entrenamiento en español
Passcode: #t!AG7#d
