Once you have determined that you are eligible, be sure to have the following ready before you apply:
Proof you live in Placer County
• A rental agreement that shows your address, rent amount and signatures from you and your landlord
Proof you are at risk of housing instability or eviction
• A past due rent or utility bill, or eviction notice
Proof you lost income due to COVID-19 (ONE of the following)
• Termination letter from your job
• Most recent paystub with employer information
• Copy of unemployment application or proof of current or expired benefits, including Federal unemployment benefits
• If you are self-employed: tax records, income statements or other proof you have lost income
Proof you are income eligible
*Household income is based on either the household’s total income for calendar year 2020 or the household’s monthly income at the time of application. The program will consider any of the following proof of income paperwork:
• 1040 form from 2020 tax return
or ONE of the following:
• Last two paystubs
• W-2 or other wage statement
• Proof of Social Security, retirement/pension, disability, or death benefit payments
• Bank statements showing regular deposits of income
• Unemployment, disability compensations, worker’s compensation, and severance pay
• Proof of payments from CalWORKs, TANF, GR, Medi-Cal or Covered California
• Alimony, Child Support, regular contributions or gifts received from organizations or people outside of the residence
• Sworn statement from your employer
• For self-employed: tax records, income statements or other proof showing loss of income
If you are applying for utility assistance only
• Past due or current utility bill, may include natural gas and propane, electricity, garbage, water, and sewer bills