Los Angeles County Rent Relief Program Interest Form

Applications for this Program are no longer being accepted. Both Landlords and Tenants are welcome to submit their information in case additional resources for rental debt assistance become available.

First Name
Last Name
Email Address
Phone Number Phone Number - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Country
Zip Code
Are you a tenant or a landlord?

Are you a tenant or a landlord? Tenant Landlord