Wisconsin Emergency Rental Assistance Program
This form is essential for landlords and tenants participating in the Wisconsin Emergency Rental Assistance Program. It validates tenancy for financial assistance and ensures compliance with program requirements. Fill it out to secure necessary rental support.
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How do I fill this out?
To fill out this form, gather all relevant tenancy details and ensure you have the necessary documentation. Make sure to provide accurate information about the tenant and the rental property. Once completed, ensure that both landlord and tenant sign the form to validate it.

How to fill out the Wisconsin Emergency Rental Assistance Program?
1
Gather necessary tenancy documentation.
2
Fill out tenant and landlord details accurately.
3
Indicate the requested rental assistance.
4
Sign the form by both landlord and tenant.
5
Submit the form to the appropriate authorities.
Who needs the Wisconsin Emergency Rental Assistance Program?
1
Landlords who require rental assistance for their tenants.
2
Tenants facing financial difficulties and seeking help.
3
Property management agents assisting tenants in need.
4
Social workers helping families secure housing stability.
5
Community organizations assisting with rental program applications.
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Download the edited version for submission.

What are the instructions for submitting this form?
Submit this form by mailing a completed copy to Racine at 2113 N. Wisconsin St., Racine, WI 53402 or to Kenosha at 2000 - 63rd St., Kenosha, WI 53143. Alternatively, it may also be faxed to the respective offices. Ensure that all provided documentation is included for processing your assistance request.
What are the important dates for this form in 2024 and 2025?
Please note that important dates for submitting the Wisconsin Emergency Rental Assistance Form in 2024 and 2025 will be announced based on the local program timelines. Check official announcements for updated deadlines.

What is the purpose of this form?
The Wisconsin Emergency Rental Assistance Form serves to validate the tenancy of applicants seeking financial aid. It is essential for both landlords and tenants to fill this out accurately to facilitate timely assistance. This form is part of a broader effort to ensure housing stability for individuals facing financial challenges.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant Name: The full name of the tenant applying for assistance.
- 2. Unit Address: The address of the rental unit.
- 3. Total Assistance Requested: The total monetary amount requested for assistance.
What happens if I fail to submit this form?
If the form is not submitted, the tenant may miss out on essential rental assistance, potentially leading to eviction. It is crucial that all required fields are completed and signed to ensure the processing of the request.
- Delayed Assistance: Missing information could lead to delays in receiving rental support.
- Eviction Risk: Failure to submit could increase the risk of eviction for tenants in need.
- Funding Limits: Inability to access available funds if the form is incomplete.
How do I know when to use this form?

- 1. Rent Assistance Application: To apply for financial assistance for rent.
- 2. Verification of Tenancy: To confirm the tenant's residency and payment history.
- 3. Recertification: For tenants needing to prove ongoing eligibility for assistance.
Frequently Asked Questions
What is the purpose of the Wisconsin Emergency Rental Assistance Form?
This form helps secure rental assistance for tenants facing hardships.
Who can fill out this form?
Both landlords and tenants can fill out the form for assistance.
How can I edit the PDF?
You can click on the fields in PrintFriendly to edit the document.
Do I need a signature?
Yes, both the tenant and landlord must sign the form.
Can I share the completed form?
Absolutely! You can share the form directly from PrintFriendly.
What happens if I don’t submit this form?
Failure to submit may result in a denial of rental assistance.
When should I use this form?
Use this form when applying for rental assistance under the WERA program.
Can I download the edited form?
Yes, once edited, you can download the form for submission.
Is there a deadline for submission?
Please refer to local guidelines for submission deadlines.
What types of assistance can I request?
You can request various forms of rental assistance including past due rent.
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