Intent to Apply for Help with Rent & Utility Bills

2. There is a new program created by the Iowa Finance Authority to help Iowa residents with rent and utility bills. The program, called the Iowa Rent and Utility Assistance Program, is for eligible residential renters who have been impacted by COVID-19. The program is expected to begin in March 2021.
4. Do You Qualify?
   According to the Iowa Finance Authority, eligibility requirements include:
6. • Someone in the household has qualified for unemployment benefits, OR the household has experienced reduced household income, significant costs, or other financial hardship due to COVID-19.
7. • The household can show a risk of homelessness or housing instability. This may include a past due utility or rent notice or eviction notice.
8. • Households have incomes of no more than 80% of Area Median Income (AMI) (see chart below).
9. • Eligible households rent their home.
11. 
15. If You Plan to Apply
    If you are eligible and plan to apply for the Iowa Rent and Utility Assistance Program, please answer the questions below.
17. If your answers qualify, your utility bill account with the City of Coralville will temporarily be exempt from late fees and water shut off. Our goal is to help keep your water on. If you have questions about this form,call the City of Coralville Utility Billing Department at 319.248.1715 or e-mail utilitybilling@coralville.org.
19. If you need more time to pay your utility bill, please contact Utility Billing at 319.248.1715 or utilitybilling@coralville.org, regardless of eligibility for the Iowa Rent and Utility Assistance Program.
21. Your Name*
22. Address*
    The address where you have City of Coralville water, sewer, trash, and recycling service
24. Account Number*
    Your City of Coralville utility bill account number
25. Phone Number*
26. Email*
28. Do you currently rent in the city of Coralville?*

    1. Yes
    2. No
29. Is your income below the Area Median Income? *

    1. Yes
    2. No

    See the chart above
31. Do you plan to apply for the Iowa Rent and Utility Assistance Program through the Iowa Finance Authority? *

    1. Yes
    2. No
32. If asked, will you give the City of Coralville a copy of your application after you apply?*

    1. Yes
    2. No
34. Next Steps
    After you submit this questionnaire, you will receive an email from the City of Coralville within five business days. This email will tell you if you are temporarily exempt from late fees and water shut off.
38. Learn More About the Iowa Rent and Utility Assistance Program
    Find more information on eligibility, documentation requirements, and how to apply on the program’s website: https://www.iowafinance.com/iowa-rent-and-utility-assistance-program/.
40. Please note, this form is for the City of Coralville only. This form does not impact your potential or pending application with the Iowa Finance Authority. The Iowa Rent and Utility Assistance Program is not provided by the City of Coralville. If you have questions about the program, contact the Iowa Finance Authority’s Recovery Help Line at 855.300.5885.
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42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

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