Instructions on Utilizing W 146E
Completing the W-146E form is an important step in seeking assistance for rent arrears. This process requires careful attention to detail and accurate information. Once you have filled out the form, you will need to submit it along with any required documentation to support your request.
- Begin by filling in the Date at the top of the form.
- Next, enter your Case Number in the designated space.
- Provide your Case Name below the case number.
- In the first section, write your Name where it states "I, ___, am requesting assistance."
- Indicate your understanding of the situation by checking the acknowledgment box regarding your rent being above the cash assistance maximum shelter allowance.
- Sign the form where it says Applicant/Participant's Signature and date it.
- In the next section, enter the name of the third party who will help pay your rent.
- Fill in the amount of excess rent the third party agrees to pay.
- Provide the address of the apartment occupied by you, the applicant/participant.
- Write the effective date of the payment agreement.
- Indicate whether the payment will be made directly to you or to your landlord.
- Fill in the name and address of your landlord.
- State your monthly household income and your shelter expense.
- List the proof of income you are submitting, such as pay stubs or a W-2 form, along with your employer's name and address.
- Describe your relationship to the applicant/participant.
- Provide your own address in the designated space.
- Finally, confirm the truthfulness of the information by signing and dating the form again where it says Signature and Date.