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CONFIDENTIAL MANDATORY HEALTH FORM Mail this form to: UNIVERSITY HEALTH CENTER UP Health Center UNIVERSITY OF PITTSBURGH AT GREENSBURG 216 Chambers Hall 150 Final Drive Greensburg, PA 15601 Please

How to fill out cdc moratorium form

How to fill out cdc moratorium form

1. To fill out the CDC moratorium form, follow these steps: 1. Download the CDC moratorium form from the official CDC website or obtain a physical copy from your local housing authority.
2. Fill in your personal information accurately, including your name, address, and contact details.
3. Provide the names and details of all household members who live with you.
4. Indicate the reason for seeking protection under the CDC moratorium, such as loss of income due to COVID-19.
5. Sign and date the form to certify that all the information provided is true and accurate.
6. Submit the completed form to the appropriate housing authority or court as instructed.
7. Keep a copy of the filled-out form for your records.

Who needs cdc moratorium form?

1. Anyone facing eviction due to non-payment of rent and meet the eligibility criteria set by the CDC needs the CDC moratorium form.
2. Eligibility criteria include experiencing a substantial loss of income, inability to pay rent due to medical expenses or caring for a family member with COVID-19, efforts to obtain government assistance, inability to find alternative housing if evicted, and making partial rent payments if possible.

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What is cdc moratorium form?

The CDC moratorium form is a declaration form that allows tenants to affirm that they meet specific criteria to qualify for temporary eviction protection under the CDC's guidelines, particularly during public health emergencies.

Who is required to file cdc moratorium form?

Tenants who are seeking protection from eviction due to a financial hardship caused by the COVID-19 pandemic are required to file the CDC moratorium form.

How to fill out cdc moratorium form?

To fill out the CDC moratorium form, tenants must provide their personal information, income details, a statement regarding their inability to pay rent due to COVID-19, and affirm that they have made best efforts to obtain rental assistance.

What is the purpose of cdc moratorium form?

The purpose of the CDC moratorium form is to provide a mechanism for tenants to formally declare their eligibility for eviction protection, thereby preventing landlords from evicting them for non-payment of rent during certain periods.

What information must be reported on cdc moratorium form?

The form requires personal identification information, a declaration regarding income, an explanation of how COVID-19 has impacted the tenant's ability to pay rent, and an affirmation of efforts to seek rental assistance.