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Testing Rent/Utility ApplicationGreg Nelson2026-01-02T16:44:22-06:00

Rent / Utilities Assistance

Step 1 of 7 - HEAD OF HOUSEHOLD INFORMATION

14%
This field is for validation purposes and should be left unchanged.
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DIRECTIONS: CAREFULLY READ AND RESPOND TO EACH QUESTION TRUTHFULLY. ONCE YOU COMPLETE EACH SECTION AND CONTINUE YOU MAY NOT BE ABLE TO GO BACK TO CORRECT OR ADD/DELETE INFORMATION.

DO NOT APPLY MULTIPLE TIMES - YOUR FILE WILL BE CLOSED WITHOUT A RESPONSE. *****
By checking this box, I agree to receive texts from Now-Forward at the mobile number listed on my application.(Required)

HEAD OF HOUSEHOLD INFORMATION

Name (You must type in your full First, Middle and Last name)(Required)
Address

HEAD OF HOUSEHOLD INFORMATION (CONTINUED)

Only Driver's License Numbers, Passport Numbers, or Photo ID Number's
MM slash DD slash YYYY

HOUSEHOLD INFORMATION

MM slash DD slash YYYY
DO NOT LIST YOURSELF BELOW - ONLY ADDITIONAL INDIVIDUALS LIVING AT RESIDENCE WITH YOU

OTHER PEOPLE LIVING IN HOUSEHOLD

List Information for ADDITIONAL MEMBERS living in your household – both adults and children. Failure to list all household members (including first, middle and last name) can cause your application to be declined.

YOU MUST INCLUDE ANYONE NOT ON LEASE
Name Gender Date of Birth Relationship to You Photo ID Age Receiving Assistance Actions
             
There are no Household Members.

Maximum number of household members reached.

HOUSEHOLD INCOME INFORMATION

You will be required to provide proof of your income and all working individuals in the residence.

You must have CURRENT income to receive NOW-FORWARD'S financial assistance

You must have current verifiable income. If you do not work at the employer on the day that you apply, then that employer does not count. We do accept SSI, SSDI and Unemployment as income. You must be working 35-40 hours a week. You are required to complete this information for any working roommate, spouse, boyfriend/girlfriend, or any other individual living at the address listed on the application.
Recipient Source of Income Monthly Net Income From This Source Employer’s Name Actions
       
There are no Sources of Income.

Maximum number of sources of income reached.

FINANCIAL ASSISTANCE NEEDED

Only one page. The page must include the address, move-in date, and household occupants. (take a photo of the one page)
Accepted file types: jpeg, png, pdf, doc, Max. file size: 20 MB.
Maximum two pages. (take a photo of the page)
Accepted file types: jpg, png, pdf, doc, Max. file size: 50 MB.

WHAT HAPPENS NEXT

A RESPONSE WILL BE EMAILED TO YOU WITHIN 2-4 DAYS ONCE YOU SUBMIT.
IF YOU FAIL TO READ SCREEN AFTER YOU CLICK SUBMIT FOR IMPORTANT DIRECTIONS YOUR APPLICATION CAN BE CLOSED WITHOUT RESPONSE.

YOU ONLY NEED TO CLICK ONCE TO SUBMIT APPLICATION. YOU WILL RECEIVE AN EMAIL AND A POP-UP MESSAGE WHEN THE APPLICATION TRANSMITS.

You must have income to receive NOW-FORWARD'S financial assistance

Now-Forward

2875 Merrell Road
Dallas, TX 75229
info@now-forward.now-forward.org

214.358.8700
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