wei@habcnj.org
One Bergen County Plaza, 2nd Floor, Hackensack, NJ, 07601, US
201-336-7600
Are you a Bergen County Resident?
Ineligible due to not being a Bergen County Resident.
Do you receive assistance for your rent? (Such as Section 8 rental assistance or other housing subsidy)
Ineligible due to subsidy assistance.
Has your household been impacted by COVID19?
Full Name
Full Address
Are you currently receiving services from a homeless service provider?
Social Worker/Case Manager Name
What type of assistance do you need?
Are you behind on your rent?
Do you have a tenancy summons or lockout notice?
Please be advised due to current federal and state eviction moratorium we are unable to proceed with your application, you may reapply at a later date upon the lifting of the state’s eviction moratorium. Please visit nj211.org for further assistance.
Are you living in an a place not meant for human habitation, emergency shelter , or transitional housing? If yes when did you become homeless?
When did you become homeless?
Are you temporarily living with friends or family?
Please be advised, you are not at risk of homelessness, you may reapply at a later date. Please visit habcnj.org/apply for other housing opportunities.
Are they asking you to leave the residence?
Have you or a family member been impacted by Covid-19 If so, please select the situation which most closely describes your situation
Are you living in an a place not meant for human habitation, emergency shelter , or transitional housing?
Confirmation
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