Utility & Rental Assistance Program

Homeward Bound can provide utility and rental assistance funds for qualifying Phoenix families effected by COVID-19. 

WHO IS ELIGIBLE?

Renters must live in the City of Phoenix, AND

Must be in a current 6-12 month lease

Be 18 years or older or an emancipated youth, AND

Have an income at or below 30% of the Area Median Income*, AND

The household has been financial affected by COVID-19 (be prepared to show proof of hardship), AND

Housing is unstable or at risk (past-due rent, utility notices, or eviction notice)

Area Median Income Eligibility Chart

If eligible, assistance may be available to you. Please complete the inquiry form below to hear from a Homeward Bound staff member within 5-7 business days. 


Click on the button below for a list of documents each adult in the household will 

need to provide with your application upon eligibility approval. 

If you have any questions about the form please contact prevent@homewardboundaz.org.

Eligibility Inquiry Form
  • Your Personal Information

    Please let us know how to get in touch with you.
  • Eligibility Questionnaire

    Please answer the following questions to determine your eligibility.
  • Please be prepared to show proof of documentation of job loss, dock in pay, cut hours etc.
  • Income Within The Last 30 Days

    Please write in the amount you received within the past 30 days in the boxes that apply to you. If you don't receive one of the mentioned, please type in "0". Total all the income for the adults in the household. If two adults receive SSI write the total between the two adults.
  • Combined total for all family members receiving income.
  • What assistance are you seeking?

    Please let us know which assistance you are requesting.
  • Please be prepared to supply a copy of the notice.
  • Please choose all that apply.
  • If you chose this option, please put the amount of your payment. If not seeking rental assistance please type "0"
  • If you chose this option, please put the amount of your payment. If not seeking rental assistance please type "0"
  • If you are not seeking a move-in deposit, please move on to the next question.
  • Utility Assistance - Please fill in amount where applicable.

  • Please put the amount of your payment. If not seeking utility assistance please type "0"
  • Please put the amount of your payment. If not seeking utility assistance please type "0"
  • Please put the amount of your payment. If not seeking utility assistance please type "0"
  • Please put the amount of your payment. If not seeking utility assistance please type "0"
  • If you chose other, please specify the utility bill you would like paid and the amount. Ex: Gas - $50 If not seeking utility assistance please type "0"
  • If you are not seeking a utility deposit, please move on to the next question.