Los Angeles County Rent Relief Program

Provide us with your contact information and you will be notified when the application opens for the Los Angeles County Rent Relief Program!

Contact Information

How can we reach you?
First Name
Last Name
Email Address
Phone Number Phone Number - ### - ### ####
Property Information

What is the address of the property in need of rent relief?
Property Address Property Address
Street Address Address Line 2 City State / Province / Region Country
Zip Code
Do you have multiple properties that are in need of rent relief?

Do you have multiple properties that are in need of rent relief? Yes No
Second Property Information

What is the address of the second property in need of rent relief?
Second Property Address Second Property Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Third Property Information

What is the address of the third property in need of rent relief?
Third Property Address Third Property Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Fourth Property Information

What is the address of the fourth property in need of rent relief?
Fourth Property Address Fourth Property Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Additional Information

We want to learn more about you.
How much unpaid rent is owed from the period of April 1, 2022 to present? $ Dollars . Cents
Are you a landlord or tenant?