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We will keep your information private as required by law. Everything you enter in this application will be kept confidential and will be used to administer benefits only. We will use the information provided by you to check your eligibility for benefits only.

The Emergency Rental Assistance Program (ERAP) provides assistance to households that have experienced financial hardship and may be at risk of homelessness due to Covid-19. ERAP provides tenant households assistance with rental and utility costs to include arrearages and other related housing expenses.


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Please go to the DHS website to access the paper application.

Your county is receiving online COMPASS ERAP applications. Upon completion, this application will be forwarded to your County ERAP Office. Your County ERAP Office may need additional verification and will contact you.

Before you begin: Things you should know

Unfinished applications will not be saved. If you exit the application prior to completion, you will have to start from the beginning.

Be prepared: What information you will need to fill out the application

  • Tenant head of household information – name, address, social security number (optional), birthdate and contact information

  • Annual or monthly household income information for all household members over age 18 (including income for Employment, Unemployment Compensation and other income sources)

  • Rental expenses

  • Utility expenses

  • Landlord or property manager information

  • Utility provider information

Documentation: To complete the eligibility determination

Items above will need to be provided to the county ERAP agency to establish eligibility. Verification of the primary applicant’s identity will also be necessary. Your county ERAP agency will work with you to obtain the verifications needed.

Application Confirmation Number:

You will get an application confirmation number and will be able to download and print your application upon completion of the application process.

Your county is not receiving Online ERAP applications through COMPASS at this time. Please download and print your application and return it to the ERAP office listed below.

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Your county is independently operating the Emergency Rental Assistance Program. In order to apply, contact the ERAP office below.

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Application for Emergency Rental Assistance

Company Name
Address (Street City Zip)
Account #

This institution is prohibited from discriminating on the basis of race, color, national origin, disability, age, sex and in some cases religion or political beliefs. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Additionally, program information may be made available in languages other than English. To file a complaint of discrimination regarding a program receiving federal financial assistance through the U.S. Department of Health and Human Services (HHS), write: HHS Director, Office for Civil Rights, Room 515-F, 200 Independence Avenue, S.W., Washington, D.C. 20201 or call (202) 619-0403 (voice) or (800) 537-7697 (TTY). This institution is an equal opportunity provider.

We will keep your information private. It will only be used to decide which programs you may be eligible for. Any person knowingly violating any of the rules and regulations of this department shall be guilty of a misdemeanor and, upon conviction shall be sentenced to pay a fine, not exceeding one hundred ($100) dollars, or to undergo imprisonment, not exceeding six months, or both (62 P.S. section 483).

You must give true, correct and complete information. You must help in proving the information, you give. Benefits may be denied if you fail to provide certain proof. If you are contacted by Department of Human Services (DHS) or the Office of State Inspector General, you must fully cooperate with those persons or investigators.

(i) The collection of this information, including the Social Security number (SSN) of each household member, is authorized under 42 U.S.C. § 405(c)(2)(C)(i) and 62 P.S. § 432.2(b)(3). The information will be used to determine whether your household is eligible or continues to be eligible to participate in the Emergency Rental Assistance Program. We will verify this information through computer matching programs. This information will also be used to monitor compliance with program regulations and for program management. (ii) This information may be disclosed to other federal and state agencies for official examination, and to law enforcement officials for the purpose of apprehending persons fleeing to avoid the law. (iii) failure to provide an SSN may result in the denial of Emergency Rental Assistance to each individual failing to provide an SSN. Any SSNs provided will be used and disclosed in the same manner as SSNs of eligible household members. If someone wants help getting an SSN, call 1-800-772-1213 or visit www.ssa.gov. TTY users should call 1-800-325-0778

You have the right to ask for a hearing to appeal a decision if you believe it is unfair or incorrect, or if the provider fails to act on your application for benefits. You may file the appeal through the county agency by following the information provided on the eligibility determination notice from the ERAP agency for your county.

If you appeal, you may also request a conference with the ERAP agency before the hearing.

I understand and agree that I am responsible for any fraudulent statements made on this application, even if the application is being submitted by someone acting on my behalf. I certify that all information that has been entered is true under penalty of perjury. I understand that the information entered in this application will be kept confidential and used only to administer benefits. I understand that I may be required to work with other agencies as a condition of my approval for assistance. I agree to provide upon request any additional documentation required (i.e. pay stub, lease, recent bills, proof of unemployment, etc.) to aid in determining eligibility.

Authorization for Release of Information (Tenant only)

I hereby authorize and request the disclosure to the county office any information concerning the age, residence, citizenship, employment, income, and any additional information involving eligibility for the rental and utility assistance programs for myself. It is understood that the information obtained will only be used for determination of rental/utility assistance or other housing assistance programs.

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Your application has been successfully submitted.

Your Emergency Rental Assistance Program application number is H{{ApplicationNumber}}

Please record your application number as confirmation of your application.

Verification Documents – In order to complete your application, you will be asked to verify certain information on the application. You may be asked to provide a copy of the documents listed below to your County ERAP Office. You can either submit these electronically by clicking on the Attach A File button or submit them to your County ERAP Office postal address or email below.

FOR ALL PROGRAMS Identity: Driver’s license, government issued ID, or other verification of identity

Non-citizen status: unexpired USCIS card or documents

Electronic Submission:


RENTAL ASSISTANCE Annual or monthly household information for all household members over age 18 (including income for Employment, Unemployment Compensation, and other income sources)

Rental expenses – a copy of your lease or statement from your landlord verifying the amount of monthly rent and back rent owed

Eviction notice if available (not required)

Landlord or property manager information
UTILITY ASSISTANCE Annual or monthly household income information for all household members over age 18 (including income for Employment, Unemployment Compensation, and other income sources)

Utility provider information

Current utility bill or shut off notice that reflects any amount owed