HarpRelief – Housing Assistance Grant

Personal Information

Please enter your legal information exactly as it appears on your government ID.

First Name

Last Name

Date of Birth You must be 55 or older to qualify.

Phone Number

Email Address

Home Address

Social Security Number (SSN) Your SSN is encrypted and used only for identity verification.

Citizenship Status

I am a U.S. Citizen I am a Lawful Permanent Resident (Green Card) Neither

HarpRelief grants are available to U.S. citizens and lawful permanent residents only.

Please upload clear photos of your identification documents.

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Driver's License – Front

Click or drag to upload

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Driver's License – Back

Click or drag to upload

Tell us about your current benefits and the assistance you need.

Monthly Rent Amount You Need Help With ($)

Monthly SSI / Disability Benefit You Receive ($)

Landlord / Property Name (optional)

Choose how you'd like to receive your approved grant funds directly.

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Bank Transfer (ACH)

Coming Soon

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Instant Debit Card

Within minutes

Applicant—

Approved Amount—

Direct Deposit Method—