Rent Relief

Rent Relief Request Form
Are you currently employed?
What are you requesting?

Personal Monthly Budget 

Actual Monthly Income

Housing

Transportation

Insurance

Please submit your most recent budget worksheet, last month's pay stubs, and bank statement to the Family Advocate no later than one week prior to the requested month for assistance to the Family Advocate.

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Upload File
Upload supported file (Max 15MB)

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-HELP-FLA OR ONLINE AT WWW.FLORIDACONSUMERHELP.COM, REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. REGISTRATION #:CH39972