Instructions

Complete this form to apply for emergency housing assistance from Hennepin County, including Emergency Assistance and Emergency General Assistance, and funding from the CARES Act. This form takes 10-15 minutes to complete.

After you complete this application, it will be reviewed for eligibility. You may be contacted for additional information before receiving final approval or denial.

To speed up processing, you will have the option of providing verifications in this form, including

  • contact information for your landlord
  • utility account numbers
  • documentation (or pictures of them) of:
    • your total income from 2019
    • your total income from the last 30 days
    • change of employment due to COVID-19
    • your amount of rent or utilities owed

Eligibility

  • Hennepin County renters with annual household income <50% Area Median Income (AMI) (less than $36,200 for households with one person, $41,400 for households of two, $46,500 for households of three, $51,700 for households of four, $55,850 for household of five, etc.)
  • Have lost income due to COVID-19
  • Do not have sufficient funds to cover housing costs, including earned income, Minnesota Family Investment Program (MFIP), disability benefits, Unemployment Insurance, stimulus payments, etc.
  • Not living in public housing, receiving ongoing rental assistance such as Section 8 or Housing Support, or using emergency assistance from another source for this month

v2.0.0

    If you are applying for utilities assistance, which are you requesting help with? 

    Veterans can access resources from MACV. Contact MACV at 1-833-222-6228 or email intake@mac-v.org.

    If you live outside of Hennepin county, you are not eligible for funding available through this application. Please contact your county of residence. 

    Preferred communication (may choose multiple)

    Gross income includes earnings from employment before taxes and other deductions are taken out, and also includes funds such as unemployment, social security, child support, or other public assistance. You will need to provide documentation or self certify later.

          This could include a notice of reduction of hours or furlough

          We are required to provide you with a Tennessen Warning prior to requesting personal information from you in accordance with Minn Stat §13.04, subd. 2. The purpose of the notice is to enable you to make an informed decision about whether to give data about yourself, which could be shared with government entities, such as Hennepin County and Minnesota Housing. The data could be shared upon court order or provided to the state or legislative auditor.  We are required to inform you of your rights as they pertain to the private information we collect from you. The information we collect from you is classified by law as either public (anyone can see it), private (the public is not given access, but you are), or confidential (even you cannot see the information).  As an applicant of this assistance, most of the information requested about you is classified as private. You are not legally required to provide any of the requested information. However if you do not, we may not be able to provide with the services or resources you are requesting. If you have any questions about this notice, please reach out to agency staff.