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FINANCIAL ASSISTANCE PROGRAM CHECKLISTPATIENT NAME: ___ DATE:___FINANCIAL ASSISTANCE CHECK List you have difficulty providing these documents, please discuss alternatives with your Financial Navigator.
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It is important to review the specific eligibility requirements for each program and consult with the relevant government agency or support organizations to determine if you qualify for government benefits.
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emergency rental assistance program
eligible renters who are facing financial hardship due to the COVID-19 pandemic
by providing necessary documentation and information online or through a designated application process
to help eligible renters who are struggling to pay their rent due to the impact of the COVID-19 pandemic
income, household size, rental agreement, and proof of financial hardship
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