(781) 344-6599

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Waitlist Questions

Thanksgiving Office Hours

<< Go back to Stoughton Housing Authority home page

Download as PDF Application

View Program Guidelines

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Please note the Emergency Rental Assistance Program is dependent on funding from the Town of Stoughton Community Preservation Committee.

Stoughton Housing Authority

Emergency Rental Assistance Online Application

Applicant's First Name

Applicant's Last Name

Street Address

Apartment or Unit

City/Town

State

Zip Code

Home Phone

Work Phone

Cell Phone

E-mail Address

Re-enter E-mail

Language Preference (if other than English)

Did you require language assistance in filling out this form? *

Yes

Total Number of People in Household (including yourself)

Total Number of Adults in Household 18 Years or Older

Please List All Adults by Name (separate each name with a comma)

Total Number in Household Under 18 Years

Number of Bedrooms in Your Home

This program is for people who have lost income due to COVID-19 related circumstances. Does your household meet this eligibility? *

Yes

Do you have an application for Unemployment Assistance Pending? *

Yes

An applicant must provide proof of all income received by all members of their household, using each member's most recent federal tax return. Income for eligibility purposes includes Federal Adjusted Gross Income (AGI) plus all other income not included in AGI, including, but not limited to, those listed below:

Types of income being received by the household: (Check if Yes) * Required

Wages

Unemployment Benefits

Social Security or SSI/Disability

EAEDC/TAFDC

Alimony/Child Support

Pension/Retirement

Personal Injury Award or Settlement

Other

Total Gross Monthly Household Income

Total Household Cash Assets (include checking, savings and other bank accounts; money markets, etc.)

Do you have a Section 8 Voucher, MRVP, RAFT or other rental assistance? *

Yes

What is your current rent each month?

Do you owe back rent? *

Yes

If yes, how much?

If yes, how much of that amount is from prior to April 1, 2020?

Landlord's Contact Information*

*Landlord MUST participate in this program. If this is left blank, the application is incomplete and will not be considered.

CERTIFICATIONS * Required

I/We certify that all information furnished in this application for rental assistance is true and complete to the best of my/our knowledge.

I/We certify that our household is not receiving any other government-funded rental assistance.

I/We certify that our household does not have access to other resources sufficient to cover the rent.

I/We understand that any false statement made knowingly and willfully, will be sufficient cause for rejection of my/our application.

I/We understand that landlord participation in this program is required.

I/We understand that ANY false information or statements given are punishable by law and will lead to cancellation of this application and rental assistance.

Applicant's Signature (use mouse or trackpad on notebook/desktop computer, or your touchscreen on touchscreen devices.)

* required

Stoughton Housing Authority

4 Capen Street
Stoughton, MA 02072
Phone: (781) 344-6599

Emergency Service Number:
(781)344-6599

The Stoughton Housing Authority provides 24-hour maintenance for any emergency occurring at a SHA-owned development.

Office Hours

Monday, Wednesday, Thursday

8:30 am – 4:00 pm

Tuesday

8:30 am – 7:00 pm

Friday

8:00 am - 12:00 pm

Maintenance Staff Hours

Monday – Friday 8:30 am – 4:00 pm

Application Links

Section 8 Application

CHAMP Link and Applications

Federal Housing

Policies

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(781) 344-6599

Thanksgiving Office Hours

<< Go back to Stoughton Housing Authority home page

Please note the Emergency Rental Assistance Program is dependent on funding from the Town of Stoughton Community Preservation Committee.

Stoughton Housing Authority

Emergency Rental Assistance Online Application

Landlord's Contact Information*

​

*Landlord MUST participate in this program. If this is left blank, the application is incomplete and will not be considered.

Stoughton Housing Authority

​

Office Hours

Maintenance Staff Hours

​

Application Links

​

Policies