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2021 COVID Rent Relief Pre-Screener

Eligibility screener

Answer the questions on this COVID-19 Rent Relief pre-screening questionnaire and we’ll start the process of determining your eligibility.

In order to apply for CSC COVID Rental Assistance online you MUST:
Have a working email address that you check at least every 48 hours; and
Have a working phone number with voicemail available; and
Have the ability to send CSC required documents via upload to our online portal
ONLY ONE APPLICATION PER HOUSEHOLD WILL BE ACCEPTED! DUPLICATE APPLICATIONS WILL BE REJECTED.
If you cannot meet the above requirements, please contact CSC to request an intake appointment. Please note that appointments slots are limited, and waiting times may be long.

Are you a renter?*
Yes
No
Do you owe back rent to your landlord?*
Yes
No
Have you or anyone in your household lost income or fallen behind in rent due to COVID 19?*
Yes
No
Do you live in a travel trailer, RV, motorhome, or tent?*
Yes
No
In what county do you live?*
How many people are residing in the home?
What is your combined gross (before deductions) monthly household income?
Is your combined gross (before deductions) monthly household income at or below $3,013?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $3,441?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $3,870?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $4,300?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $4,645?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $4,991?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $5,333?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $5,679?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $3,783?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $4,320?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $4,862?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $5,400?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $5,833?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $6,266?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $6,700?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $7,129?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $2,866?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $3,275?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $3,683?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $4,091?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $4,420?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $4,750?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $5,075?
Yes
No
Is your combined gross (before deductions) monthly household income at or below $5,404?
Yes
No
Agreement
I attest that
I have a working email address that is checked regularly, a working phone with voicemail, I am able to upload required documents to this online portal. I am the applicant for my household and no one else on my lease has applied or will apply for this program.
Eligibility Notice
You are not eligible for assistance from CSC. Please contact the Community Action Agency in your county for help. Visit caporegon.org to find providers in your area.
Eligibility Notice
Only renters are eligible for this assistance. IF you are a homeowner, please contact OHSI
Eligibility Notice
You are not eligible for this program. You may re-apply if you fall behind in rent.
Eligibility Notice
You are not eligible for this program. Contact CSC to see if qualify for other programs.
Eligibility Notice
You are not eligible for this program, but you may qualify for other help from CSC. Please contact the CSC office near you.
Eligibility Notice
Based on the information provided, it does not appear that you are eligible.
You May Be Eligible
Based on the information provided, it appear that you may be eligible. Click Next Steps.

Community Services Consortium is the community action agency for Linn, Benton, and Lincoln counties, and select services in Polk county. Whether you need one-time assistance today, or long term support for tomorrow, CSC is here to help.

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2021 COVID Rent Relief Pre-Screener

Eligibility Notice

Eligibility Notice

Eligibility Notice

Eligibility Notice

Eligibility Notice

Eligibility Notice

You May Be Eligible

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