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“Empowering People to find positive solutions to conflict”

Tenant Portal

If you are behind in rent and would like to submit yourself into the program, please fill out this form below and we will contact you.

Tenant Intake Form

First Name(*)

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Phone Number(*)

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Last Name(*)

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Email Address(*)

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Address(*)

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City(*)

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Have you received previous rental assistance?(*)

Yes No

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Landlord’s Name(*)

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Landlords Phone

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Zip Code(*)

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Number of Months behind in rent(*)

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Property Name(*)

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Landlords Email

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File upload of notices or photos

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Anything else you would like us to know?

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Security Check(*)

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Submit

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Links to Local Resources

Clark County Volunteer Lawyers Program
SHARE Vancouver
Council for the Homeless

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