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Hardship Request Form
Please complete the following information in order to submit a request for assistance.
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Name
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Property
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Choose
Augusta Road Apartments
Westport Crossing
Westport Edge
Green Door Apartments
Metro Apartments at Bethalto
Metro Apartments at Collinsville
Metro Apartments at Wood River
Metro Apartments at Granite City
Email
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Your answer
Phone
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Your answer
Was your ability to pay rent affected by Covid-19? If Yes, How?
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Your answer
What type of assistance have you applied for?
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Unemployment
Assistance through the government
Assistance through local charities and organizations
https://www.rentassistance.us
Utility Relief
SNAP
WIC
All of the above
None of the above
Other:
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What type of assistance have you received?
*
Unemployment
Assistance through local charities and organizations
Utility Relief
SNAP
WIC
All of the above
None of the above
Other:
Required
What is your current rent?
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Your answer
How can we help you pay your rent?
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Remove Late Fees
Set up a payment plan
Remove costs to pay online (such as CC fees)
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