KEPA Pre-Application Checklist
Basic Information
☐ All of the Tenant's contact information
☐ All of the landlord's contact information
☐ A list of who lives in your home, including:
☐ First & last name
☐ Age
☐ Date of birth
☐ Gender identity
☐ Race
☐ Whether or not they are Hispanic
☐ Their relationship to you
☐ Their current monthly income
☐ If anyone is unemployed, the dates they have been unemployed
Housing Information
☐ The amount of rent you are supposed to pay each month
☐ The number of bedrooms in your housing
☐ Whether or not your housing is subsidized
☐ The amount of rent you currently owe your landlord
☐ The month for which you have not paid your rent
Utilities Information
☐ If you are asking for help with utilities, a list of which utilities and how much you owe them each
Documents
☐ Copy of your lease, if you are asking for rental assistance
☐ Copy of proof of income (such as W-2, last month's pay stubs, or tax form)
☐ Copies of utility bills, if you are asking for utilities assistance