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menos uno de los siguientes requisitos en de

Merced County

Emergency

Rental

Assistance

Program

March 15, 2021 to

December 31, 2021

Program

Overview

 Provides financial assistance and housing stability services to

eligible Merced County households.

 Financial assistance includes payment of rent, rental arrears,

utility and home energy costs, and utility and home energy arrears

incurred due, directly or indirectly, to the novel coronavirus

disease (COVID-19) outbreak.

 Rental, utility, and home energy assistance shall be provided for a

period not to exceed twelve (12) months; an additional three (3)

months of assistance may be provided only if necessary, to ensure

housing stability for a household.

 Rental, utility, and home energy arrears payments may not be

provided for costs incurred before March 13, 2020.

Types of

Assistance

 The ERA program provides financial assistance to eligible

households, in the form of payment of:

1. Rent

2. Rental arrears

3. Utility and home energy costs

4. Utility and home energy arrears

 ERA does not cover mortgage assistance.

 Prospective (future) rental assistance shall not be provided, unless

assistance has also been provided to satisfy an eligible household’s

rental arrears from March 13, 2020 to current.

 Prospective (future) rental assistance shall not be provided for

more than three (3) months based on any application by, or on

behalf of, a household unless the following conditions occur:

1. Program funds are available; and

2. A subsequent application for additional financial assistance is

submitted, provided that the total months of financial assistance

provided thus far to the household does not exceed the total

months of assistance allowed for the program.

Assistance

Payments

 Rental, utility, and home energy payments shall be made payable,

and mailed directly, to the lessor or utility provide on behalf of the

household.

 Utility bills must have the applicant’s or a member of the

applicant’s family name on the bill.

 Applicants whose bills are not in their name or in an adult family

member’s name will be required to provide proof of paying the bill

in the form of a cancelled check, receipt from the utility company

or other form of proof that the applicant has been paying the bill.

 In cases where the landlord’s name is on the bill, a letter from the

landlord stating that the client is responsible for paying the bill

must be obtained.

 Applicants cannot self-certify that they are responsible for paying

a utility bill that is not in their name or the name of an adult family

member or household member.

Assistance

Payments

(continued)

The following are not allowable under this program:

 Rental deposits

 Utility deposits

 Fines and fees other than late fees

 Payment to collection agencies

 Payments for room rent to family members

 Move-in/move-out costs

 Additional fees charged for pets

 Other fees or fines for damage to property, utility/water

equipment

 Phone, internet, and cable/satellite television bills

Eligible

Households

An eligible household means:

1. A household located in Merced County of one (1) or more

individuals who are obligated to pay rent on a residential

dwelling in Merced County; and

2. One (1) or more individuals within the household:

a. Has qualified for unemployment benefits, or experienced a

reduction in household income, incurred significant costs, or

experienced other financial hardship due to COVID-19

b. Can demonstrate a risk of experiencing homelessness or housing

instability, which may include:

i. A past due utility or rent notice or eviction notice

ii. Unsafe or unhealthy living conditions

Eligible

Households

(continued)

3. The total household income is not more than fifty percent

(50%) of the area median income for households in Merced

County

a. In determining the income for the household for the purposes of

determining household eligibility, the applicant shall provide

proof of:

i. The household’s total annual income for calendar year 2020, or

ii. The household’s total monthly income at the time of application.

i. If eligibility is met through monthly income determination, it shall be

required to re-determine eligibility of a household’s income every three

(3) months for which the household receives ERA assistance.

Area Median

Income (AMI)

Eligibility

Documentation

Applicants must provide proof of income for all household members

for the 2020 calendar year (January 1, 2020 – December 31, 2020).

1. Acceptable proof of income for 2020 for all members of the

household include one or more of the following:

 Check stubs with YTD income for 2020

 Unemployment Benefits printout or check stubs

 Social Security (SSA/SSI) award letter/s

 Passport to Services from HSA

 Bank statements

 Letter from employer/s

 2020 Federal income tax return and W-2

 Self-employment accounting records

 Other documents that provides proof of income

Eligibility

Documentation

(continued)

2. Acceptable proof of number in household (if more than 1 in

family) include one or more of the following:

 Birth Certificate/s

 Social Security Card/s

 Passport to Services from HSA

 2020 Federal income tax return

 Marriage Certificate

3. Applicant must present a Photo ID, Social Security Card, and

proof of legal residency

4. Documentation of rent/utility bills

 Rent/lease agreement and Merced County Emergency Rental

Assistance Program Landlord Form

 Current letter or notice of rent due and arrears amount

 Current utility bills as well as proof of any unpaid past due balances

and service periods

Rental and

Utility

Assistance

Documentation

Rental/Lease Agreements:

1. Applicant must reside in the unit in which the rent is to be paid and/or

the landlord applying on behalf of the tenant for which the rent is to

be paid.

2. The applicant’s name must appear on the agreement.

3. A current letter, eviction notice, rent statement, utility bill statement,

or other document which indicates which month(s) that are due or

past due and how much is owed. The following information must be

included on the document:

1. Applicant’s name

2. Address of applicant’s residence

3. Name, physical and mailing address and phone number of landlord

4. Amount owed and for which month(s) owed; shall not include costs

incurred before March 13, 2020.

4. Agreements with applicant’s name listed on or in the agreement as

being a resident and responsible for payment.

5. Verify all individuals living in the household/dwelling unit and their

relationship to the client.

COVID-19

Attestation and

Documentation

Applicants must be able to demonstrate COVID-19 impact by certifying

and/or providing proof of one or more of the following conditions to

qualify:

1. Unable to reach place of employment, or place of employment closed

because of a public health order imposed as a direct result of the

COVID-19 public health emergency

2. Loss of or a reduction of income from self-employment

3. Loss of income due to lack of child care and/or required

homeschooling responsibilities

4. Loss of income due to the COVID-19 related illness, mandated

quarantine or death

5. Increases in household expenses due to COVID-19 for medical bills

(ie: doctor bills, emergency room, hospitalization, prescriptions or

funeral costs)

6. Increases in household home schooling expenses such as food costs,

energy costs, computer/tablet purchases, internet costs due to

COVID-19 mandated school closures

How to Apply

 Before receiving an appointment, a pre-screening must be completed

via phone.

 Pre-screenings and appointments will be provided on a first-come, first-

served basis while funds are available by calling (209)356-7168 or

emailing

info1@cvoc.org or inquiring via www.cvoc.org/contact-us.

 If the pre-screening is passed, the applicant will be contacted with an

appointment date/time.

 During the appointment, the applicant will be required to provide proof

of all income as well as other necessary documentation.

 If any documentation is missing or can’t be verified, the applicant will

have their appointment rescheduled.

 If all documentation is provided and valid, the application will be

submitted to a review department for approval.

 If approved, the applicant will receive an approval letter via mail with

the award amount details and timeline for payment/s.

How to Apply

(continued)

 If the pre-screening isn’t passed, the applicant will receive a denial letter

via mail with the reason/s; however, the applicant may appeal the

decision in writing within ten (10) working days to the Executive

Director.

 Additionally, if the application is submitted for final review and it’s

determined to not be eligible, the applicant will still receive a denial

letter via mail with the reason/s; however, the applicant may appeal the

decision in writing within ten (10) working days to the Executive

Director.

How to Apply

(continued)

 All requests for a pre-screening appointment should be directed to the

Emergency Rental Assistance Program direct line,

(209) 356-7168 or via

the CVOC website,

www.cvoc.org/contact-us or direct email to

info1@cvoc.org or via CBO Referral Form located at www.cvoc.org.

Contact

Information

Executive Director: Jorge De Nava, Jr. – jdenava@cvoc.org

Lead Center Director: Adrian Gonzalez – agonzalez@cvoc.org

Coordinator: Meliza Ramirez-Macias – mramirezmacias@cvoc.org

Merced County Emergency Rental Assistance Lessor (Landlord) Letter

Attention Lessor: In order for CVOC to provide Merced County Emergency Rental Assistance to your tenant/s the

following information must be provided on each tenant. Please complete all applicable sections of this form and complete

and sign a W-9 Form which can be accessed at https://www.irs.gov/pub/irs-pdf/fw9.pdf

Name of Lessor (Landlord): ________________________________________________________________

Physi

cal Address of Lessor: _________________________________________________________________

Mail

ing Address (if different): ________________________________________________________________

Phone: ____________________________ Email address: _________________________________________

Name o

f Tenant/s:

________________________________________________________________________________________

Address of Rental Property: _________________________________________________________________

Current Monthly Rent: Provide a breakdown of past due rent in table below.

Month Past Due (enter

Month and Year)

Rent Amount (enter rent

amount for each month)

Late Fees (if any) (enter

late fees being charged)

Total Past Due (enter total

of rent and late fees)

Total Amount of Past Due Rent:

NOTE: Your tenant will be required to provide a copy of a formal rental agreement, letters of notification of any changes to the rent

amount shown in the rental agreement as well as any other notifications of eviction and any invoices for payment or other payment

demand letters.

By my signature below I certify that the information submitted on this form and IRS Form W-9 are true and correct to the best

of my knowledge and attest that I have not received payment/s, been notified of payment/s or have any knowledge of any

other payment assistance for any or all of the amounts listed above and should I become aware of and or receive payment/s

from any source/s for any of the amounts listed above, I will immediately notify Central Valley Opportunity Center. I

understand that false statements or claims made in connection with the Merced County Emergency Rental Assistance

Program will result in denial of benefits, repayment remedies and may result in fines, imprisonment, and/or any other remedy

available by law.

__________________________

______________________

Signature of Lessor/s

Enter Lessor SSN, DUNS# or Tax ID #

Revised 3/2/2021

Name of Lessor (Printed Name)

0.00

$ 0.00

Select one

Central Valley Opportunity Center

Merced County Emergency Rental Assistance Program

REFERRAL FORM

REFERRAL TO:

Agency Name: ______________________________ Referral Date: _______________________

REFERRAL FROM:

Agency Name: ______________________________ Agency Staff: _______________________

Phone #: ______________________________ Email Address: _______________________

Comments: _______________________________________________________________________

______________________________________________________________________________________

CLIENT INFORMATION:

Name: ______________________________ Date of Birth: _______________________

Address: ______________________________ Family Size: _______________________

Language: ______________________________ Gender: _______________________

Phone #: ______________________________ Email Address: _______________________

2020 Income: ______________________________

Referral Reason: _______________________________________________________________________

______________________________________________________________________________________

AUTHORIZATION FOR RELEASE OF INFORMATION:

I, __________________________________, hereby authorize __________________________________

Client Name (print) Agency

to discuss and/or release information that pertains to my request for assistance.

Client Signature: ______________________________ Date: _______________________

*** Email Referral Form to info1@cvoc.org ***

6838 Bridget Court

•

Winton, CA 95388

•

(209) 356-7168

•

www.cvoc.org

•

www.facebook.com/cvocinc

Revised 5/6/2021

MERCED COUNTY EMERGENCY RENTAL ASSISTANCE PROGRAM

CHECKLIST OF REQUIRED DOCMENTATION

Applicants must provide proof of income for all Household Members for the 2020

calendar year (January 1, 2020 – December 31, 2020).

A. Acceptable Proof of Income FOR 2020 for all Members of the Household include

one or more of the following:

 Check stubs with Year to Date Income for 2020

 Unemployment Benefits Print-out or Check Stubs

 Social Security (SSA/SSI) Award Letter/s

 Passport to Services

 Bank Statements

 Letter from employer/s

 2020 Federal Income Tax Return and W-2/s for 2020

 Self-Employment Accounting Records

 Other documents that provides proof of Income

B. Acceptable Proof of Number in Household (If more than 1 in family) include one or

more of the following:

 Birth Certificate/s

 Social Security Card/s

 Passport to Services

 2020 Income Tax Return

 Marriage Certificate

C. Applicant must present identifying documents (Picture Identification and Social

Security Number). See list below of acceptable picture identification and proof of

social security number:

 Government issued picture ID – Applicant must provide at least one (1) of

following: Driver License, Government Issued Identification Card, Citizenship

Document, U.S. Passport, Employment Authorization Card, Permanent

Residency Card, and Military Identification Card.

 Social Security Card – Applicant must provide one (1) of the following: Social

Security Card or other government issued document that contains the

applicant’s Social Security Number such as; Passport to Services, Official

Letter from the Social Security Department, Military document, Immigration

document/s or other government issued document that contains the

applicant’s Social Security Number.

 Other documents may be required sufficient to determine the applicant’s

identity.

D. Documentation of Rent/Utility Bills

 Rent /Lease Agreement and Merced County Emergency Rental Assistance

Program Landlord Form*

 Current letter or notice of rent/s due and months that rent/s are due

 Current utility bills and print of all past due balances showing amounts and

service periods owing.

*Landlord must complete the Merced County Emergency Rental Assistance Program Landlord

Form - Form is available on CVOC Website ( https://www.cvoc.org/ ).

Household must be able to demonstrate COVID-19 impact by certifying and/or providing

proof of one or more of the following conditions to qualify:

Revised 5/6/2021

 Unable to reach place of employment, or place of employment closed because of a public health

order imposed as a direct result of the COVID-19 public health emergency.

 Loss of or a reduction of income from self-employment.

 Loss of income due to lack of child care and/or required home schooling responsibilities.

 Loss of income due to the COVID-19 related illness, mandated quarantine or death.

 Increases in household expenses due to COIVID-19 for medical bills (ie: doctor bills, emergency

room, hospitalization, prescriptions or funeral costs.)

 Increases in household home schooling expenses such as food costs, energy costs,

computer/tablet purchases, internet costs due to COVID-19 mandated school closures.

PROGRAMA'DE'EMERGENCIA'EN'ASISTENCIA'EN'

ARRENDAMIENTO'DEL'CONDADO'DE'MERCED''

El'Solicitante'debe'de'proveer'los'ingresos'anua le s 'de'todos'los'Miembros'del'

Hogar'para'el'año'en'regla'del'2020'(1'de'enero,'2020''– ' 31'de'diciembre,'2020).''

'''''A.'Prueba'Aceptable'de'Ingresos'DEL'2020'para'todos'los'miembros'del'hogar''

''''''''''incluye'uno'o'más'de'los'siguiente s: ''

• Talones'de'cheques'con'Ingresos'del'año'2020'hasta'la'fecha'

• Impresión'de'Beneficio s'd e 'Desempleo'o'talon e s'd e 'c h e q u e s'

• Carta(s)'de'adjudicación'del'Seguro'Social'(SSA/SSI)'

• Pasaporte'(Servicios ' Consulares)'

• Estados'de'Cuenta'Bancarios''

• Carta'de'empleador(es)''

• Declaración'de'Impuestos'del'año'2020'y'W-2/s'del'2020''

• Registros'de'Contabilidad'de'Trabajador'Autónomo''

• Otros'documentos'que'demuestren'pruebas'de'ingresos'

'''''B.'Prueba'Aceptable'del'Número'de'miembros'del'hogar'(si'más'de'1'en'la'

''''''''''Familia)'incluye'uno'o'más'de'los'siguientes:'

• Acta'de'Nacimiento''

• Identificaciones'del'Seguro'Social''

• Pasaporte'(Servicios'Consulares)'

• Declaración'de'Impuestos'del'año'2 0 2 0 ''

• Acta'de'Matrimonio''

'''''C.'El'Solicitante'deberá'presentar'documento'de'identificación'el'cuál''

''''''''''puede'incluir'en'uno'o'más'de'los'siguientes:'

• Credencial'con'fotógrafia'emitida'por'entidad'gubernamental'

• Identificación'del'Seguro'Social''

• Comprobación'de'residencia'legal'

'''''D.'Documentación'de'Renta/Recibos'de'Servicios'Publicos'

• Convenio'de'Alquiler/Arrendamiento'y'formulario'de'propiedad'del'

Programa'de'Emergencia'en'Asistencia'en'Arrendamiento'del'

Condado'de'Merced''

• Carta'o'aviso'vigente'de'renta(s)'adeudada(s)'y'meses'los'cuales'

son'adeudados''

• Recibos'de'servicios'publicos'vigentes'y'demostración'de'saldos'

adeudados'pasados'el'cuál'reflejen'los'montos'y'periodos'de'

servicios'adeudados'

'''*El'propietario'deberá'completar'el'formulario'de'propiedad'del''

'''''Programa'de'Emergencia'en'Asistencia'en'Arrendamiento'del'Condado'de'Merced'

Formulario'disponible'en'el'citio'Web'de'CVOC'('https://www.cvoc.org/').''

El'Familiar'deberá'competentemente'demostrar'que'fue'impactado'por'COVID-

19'certificando'y'proveyendo'comprobantes'en'una'o'más'de'las'siguientes'

condiciones'para'calificar:''

v In c a p az 'd e 'p r e se n ta rs e 'al'lu g a r'd e 'e mpleo,'o'lugar'de'empleo'cerrado'debido'

a'un'mandato'de'salúd'pública'impuesta'como'r e s u lta d o 'd ir e c t o 'd e 'la '

emergencia'de'salud'publica'por'COVID-19.''

v Perdida'de'o'reducción'de'ingresos'como'trabajador'autónomo.''

v Perdida'de'ingresos'debido'a'la'falta'de'cuidado'infantil'y/o'de'

responsabilidades'requ e r id a s'p o r' escuela'en'casa.''

v Perdida'de'ingresos'debido'a'cuarentena'bajo'mandato,'fallecimiento'o'

enfermedad'en'relación'a'COVID-19.'

v In c r e mento'en'gastos'del'hogar'debido'a'COVID-19'para'facturas'medicas'(ej:'

recibos'medicos,'sala'de'emergencias,'hospitalización,'recetas'medic a s 'o'

costos'fúnebres).''

v In c r e mento'en'gastos'de l'h o g a r'd e b id o 'a'e s c u e la'e n 'c as a'ta l'como'costos'en'

comida,'costos'en'energía,'compras'en'computadoras/tabletas,'costos'de'

internet'deb id o 'a 'la 'mandata'clausura 'd e 'e s c u e la s'p o r 'C OVID-19.''

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