Thank you for your interest in the Monroe County Emergency Rental Assistance Program (ERAP). This form is for landlords and/or property managers. For tenant applications or more information, please visit MonroeERAP.com.

Landlord Information

Landlord Name (if individual)

Property Management Company Name (if applicable)

Property Management Point of Contact (if applicable)

Landlord/Best Contact Phone *

Landlord/Best Contact Email *

Landlord Mailing Address *

Tenant Name *

Please provide at least 1 contact method to reach the tenant, perferrably a phone number.

Tenant Phone Number

Tenant Email Address

Tenant Mailing Address

Please upload a completed IRS Form W9. If you need to access the form, click here.

Please upload a copy of the lease.

Has a court-ordered eviction notice been issued? *

Yes

Please upload a copy of the court-ordered eviction notice (if applicable).