Must have police report filed within 30 days of incident occurring

Must have documentation from employer on signed company letterhead indicating the start date and the situation, such as temporary assignment ending, layoff, decrease in hours or sales etc.

Current child support print out showing gap in payments

Court Order with customer and child's name showing date order became effective and receipts showing additional expenses paid out for child.

Written and signed verification from landlord that person is no longer at residence and date they left the household or verification of incarceration (in jail) and documentation that person was a contributing member of the household – example: recent check stubs.

*Note: previous resident must have been on the lease agreement for loss to be considered.

Written report from Fire Marshall indicating occurrence was at the household

Letter from employer verifying last date worked and reason for termination on signed company letterhead.

Print out or letter from agency verifying gap in payments and reason (if STD or workman’s comp).

Medical excuse from licensed physician stating dates out of work under doctor’s care and expected date of return (no medical records accepted).

Written documentation from employer on letterhead signed stating effective date of reduction and reason for reduction with pay stubs within the last 6 months to verify statement from employer.

Social Security Awards letter verifying the lump sum Medicare Premium being taken out.

Receipt in customer's name from licensed vendor within the last 6 months (car repairs also require current car registration)

Receipt from funeral home showing amount paid or receipt for plane ticket/travel expenses along with death certification, obituary, and/or funeral program for deceased

Mortgage

• Current Mortgage Statement
• Completed mortgage release form authorizing Seminole County to contact mortgage company.

• Rent
  • If applying for 1st month's rent, the eviction must have occurred in Seminole County and show copy of Court Eviction Notice within the last 12 months.
• Utility (must be in the name of customer or other adult in household)-Electric, Water, and Gas Only
  • Past Due or Current Utility Bill (original or electronic bill required *note: account/statement summaries not accepted)
  • Cut Off Notice (Disconnection notice not acceptable)
• Dental
  • Original Written Dental Referral from Licensed Dentist within the last 6 months.
  • Dental Provider Name and Contact Information
• Deposit
  • Household must provide documentation of either being homeless or in danger of becoming homeless as a result of the inability to pay security and/or utility deposits when seeking residence in rental housing by providing one of the following documents;
    • Court eviction within the last year; or
    • Foreclosure notification within the last year; or
    • Documentation from City or County Code Enforcement stating current housing is substandard housing; or
    • Notice of no lease renewal from landlord; or
    • Proof the household has been residing in an extended stay hotel/motel for 7 days; or
    • Referral from a homeless shelter or agency/church on signed agency letterhead;
      • In addition, domestic violence shelter referrals must provide a denial letter for victims crime compensation funding
  • Rental unit must be located within Seminole County
  • Monthly rent charged on the unit cannot exceed the current fair market rent (FMR) for Seminole County.
  • Monthly rent charged on the unit must be at or below 30% of the household's maximum income level.
  • Training Program
  • Provide acceptance letter for an Approved Workforce Central Florida Training Program dated within the last 30 days; and
  • Provide a copy of class schedule; and
  • Provide a copy of financial aid documentation from school; and
  • Provide an invoice for program tuition, books and training supplies (Please note: Seminole County will pay the vendor directly).

Please provide proof of a documented financial hardship within the last 6 months that is not the result of a criminal activity.

• Current Mortgage Statement/or Proof of Ownership
• Current Valid Lease Agreement and utility addendum if water payment included with the rent (lease renewal required if lease is ending withing the next 60 days) and
• Current Utility Bill within last 30 days (electric, water or gas showing name and address)
• Homeless customers must provide signed, affidavit of homeless status in Seminole County and
  • Letter from agency or facility on signed company letterhead verifying homeless situation or
  • Court eviction within the last 12 months to show homelessness

The CSBG Training, Day Camp, and Extended Day programs require only the last 30 days of income for the household.

The Deposit Program and Dental Programrequire third (3^rd) party verifications of income and assets. If third party verifications are unavailable, proof of the last 6 months of income and assets (including bank statements) will be required for these programs.

Rent, mortgage, and utility assistance programs require the last 90 days of income documentation.

Documents Required to Prove Household Income:

• Proof of All Household Income-Please provide all that apply to your household
• Verification of Employment Income: Paystubs for the last 90 days from your application dateall household members currently employed
• Verification of Assets: All pages of Bank Statements/Pay Card/Debit Card statements for the last 6 months for all accounts (*transaction histories are not acceptable-statement must show beginning and ending balance for period covered) if applying for Dental and Deposit only
• Verification of Unemployment Benefits: Provide an approval letter from unemployment compensation with a printout of benefits being paid from local or out of State benefits
• Verification of Social Security Income: Current year Social Security Awards letter for all SSDI, SSI, and Social Security benefits for all household members receiving the income
• Verification of Self employment income: provide last 3 months of business bank accounts, profit/loss statement, and last year tax return
• Verification of Child Support (Required for all households with minor children not living with both biological parents)
• Print out from Child Support Enforcement , Clerk of the Court, or Department of Revenue website showing the payments or Court Order or if support is not court order, payer provides a notarized statement of monthly support paid or proof from Child Support Enforcement or the Clerk of the Court that you are not currently receiving child support
• Verification of Alimony or Separation Payments-court order or check stubs showing the last 90 days of payments
• Verification of Pension, Retirement and Annuities- last 90 days of check stubs or letter from company on signed company letterhead verifying the monthly benefit received.
• Verification of Income from Military Service-LES (Leave and Earning Statement)
• Verification of Veterans Administration Benefits- letter from VA verifying monthly benefit received.
• Verification of Recurring Cash Contributions-form must be completed by person providing household with monthly support
• Public Assistance Verification: TANF (cash assistance) / Food Stamps Decision Letter or print out (showing household compostition and benefit amount) from DCF showing last 90 days of payments or 6 months for Deposit and Dental Programs
• Verification of Worker's Comp or Short/Long Term Disability- last 90 days of paystubs or paperwork on signed company letterhead verifying the amount of the weekly benefit and how long the benefit will last

• Verification of No Monthly Income (Must be completed and notarized by all household members 18 and older claiming no monthly income)

• Verification of No Financial Accounts (Must be completed and notarized by all household members 18 and older claiming no financial/bank account) if applying for deposits or dental only.

• Third Party Verification Forms:

  • Verification of Employment (VOE) Form

  • Verification of Deposit (VOD) Form

  • Verification of Pension and Annuities Form

  • Recurring Cash Payments

Additional Documentation

COVID-19 OUTBREAK: Once you have submitted your application we ask that you limit your contact to the office for application status or verifying required documents submitted. Please be mindful during this time, our system has had an unusual influx of requests for assistance and staff is reserving time to review and notify customers of next steps in the process. If anything is missing or additional information is needed, the case manager assigned will contact you directly. Applications are being reviewed in the order received.

Seminole County Community Assistance Division has temporarily suspended applications for the Rental and Mortgage Assistance Program. Once the online portal for CARES grant funding launches in August, applications will resume. Please note, for applicants who applied for Rental and Mortgage Assistance before July 17, 2020 at 5:00p.m., applications are being reviewed to determine eligibility; applicants will receive updates upon review.

Please note that this assistance is limited to one time only and not on-going.

*Immediate financial assistance is not available through this office.