Effective January 2025, the qualification criteria for this program has changed. Please read this page carefully before submitting an application for your patient.
Applications are accepted for a 10-day window each month (the first and last 5 calendar days).
This program provides one-time rent payment assistance to patients who have experienced an emergency situation (hospitalization, change in work status, major vehicle repair expense, etc.) that endangers their ability to pay their rent on time.
The purpose of this program is to prevent the accrual of late fees and potential progression to eviction due to a temporary financial hardship. It is our policy to not assist patients with payments they cannot maintain on their own.
This assistance is limited to a one-time assistance for either rent (including the rent eviction prevention assistance) OR utilities.
Patients who have previously received rent or utility assistance with NKF AZ prior to January 2025 will not be eligible to receive this assistance.
The maximum household income cannot exceed 200% FPL (See FPL Chart). Income for ALL individuals living at the address must be reported on the Financial Statement.
This program will pay one month of rent, with a maximum award for this assistance of $1,600 per patient.
NKF AZ cannot assist with late fees, court fees, or penalties.
NKF AZ does not assist with mortgage payments or rent deposits.
Forms/Documents:
- Patients must submit the following documents for you to include in the online application:
- Current rent or account statement showing the charges and payments for the past 3-4 months
- A copy of the patient's current lease agreement.
- Hand-written, verbal, and email agreements are not accepted.
- Sub-let agreements are only accepted if they are a formal signed lease.
- A Rent Assistance Application and Consent form with Financial Statement (the Financial Statement is the last page of the PDF) giving NKF AZ permission to contact the property owner must be signed by the patient.
- When the patient’s name is not on the lease, the Consent must be signed by the responsible party and additional verification that the patient is living at the address will be required. This may include a copy of their Arizona state ID that lists the address, a bill in the patient's name that has been sent to that address (no "junk" mail), or some other formal document mailed to the patient at that address.
- English Rent Assistance Application and Consent
- Spanish Rent Assistance Application and Consent
- To start a new Rent Eviction Prevention application go to
https://www.GrantRequest.com/SID_6273?SA=SNA&FID=35047 Note: The first page of this application is a checklist to help you ensure you have all required documents and information before you submit.
- To access a saved or previously submitted application go to https://www.GrantRequest.com/SID_6273?SA=AM
Renewal:
- N/A