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  • Short Term Rental Assistance Application

    NeighborImpact Housing Stabilization

  • Rental Assistance applications are prioritized based on need and an application to our program does NOT guarantee assistance.  

     

    (Updated December 2025)

    NeighborImpact's Rental Assistance Program currently has Eviction Prevention funding available to serve households, up to one time per household, that meet the following priorities in order of need: 

    • An active eviction case due to non-payment of rent 
    • A pending first court appearance due to non-payment of rent
    • An eviction court summons due to non-payment of rent
    • A written 10-day notice to vacate due to non-payment of rent
    • Imminent risk of eviction due to non-payment of rent

    Please note that even if you meet criteria above, we cannot guarantee assistance.

     

    For all adults 18 and over:

    • Last 60 days proof of income (paystubs, SSI/TANF letters)
    • Last 60 days bank statements (monthly ending balances)
    • Copy/picture of ID (can be from another state/country)
  • Is anyone in the household:*
  • Are you currently past due on your rent?*
  • NeighborImpact only serves Crook County, Deschutes County, Jefferson County and Warm Springs. In which county do you live?*

  • NeighborImpact only serves Crook County, Deschutes County, Jefferson County, and the Confederated Tribes of Warm Springs. 

    If you live outside our service area, please dial 211 to be referred to services where you live. 

  • Today's Date*
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  • Preferred method of contact*
  • Format: (000) 000-0000.
  • What are your pronouns?
  • Format: (000) 000-0000.
  • Requesting:

  • If you are seeking Deposit Assistance, please complete the form on the link below:

    NeighborImpact Deposit Assistance Form

    *NeighborImpact is not able to help with housing search or application fees; deposit assistance is only available to rental-approved applicants.

  • Do you have a notice to vacate?*
  • Do you know what kind?
  • Have you been approved?
  • Date of birth*
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  • Date of Birth*
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  • Date of Birth*
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  • Date of Birth*
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  • Date of Birth*
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  • Date of Birth*
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  • Date of Birth*
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  • Date of Birth*
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  • Date of Birth*
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  • Date of Birth*
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  • What is your current living situation:*
  • Have you had help with rent from NeighborImpact in the last year?*
  • Have you applied anywhere else for help with your rent?*
  • Have you gone to court for an eviction in the last 5 years?*
  • Please choose what best fits your current situation:*

  • Upload as many of the following documents as you can to make sure your application is complete. If you do not have something, or it doesn’t apply to you, use the field below it to explain why.

     

    For all adults 18 and over:

  • Income documents

  • Do you have your income documents?*
  • Browse Files
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  • ID documents

  • Do you have your ID documents?*
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  • Bank statements

  • Do you have your bank statements?*
  • Browse Files
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  • Rental agreement

  • Do you have your rental agreement?*
  • Browse Files
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  • Eviction Notice/Court Summons

  • Do you have your copy of your eviction notice and/or court summons from the landlord?*
  • Browse Files
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    Choose a file
    Cancelof

  • Move-in paperwork

  • Do you have your Move-In paperwork?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Would you be willing to work with us to share your experience in receiving assistance? NeighborImpact will never release any of your personal information without your permission.*

  • If you don't want us to yet, that is okay, but we will need to contact them upon approval of services. By initialling this form, you are giving NeighborImpact permission to speak with your landlord about your situation and payment.

  • Clear

  • Thank you for completing the NeighborImpact Housing Stabilization Short Term Rental Assistance Application!

    Click the Submit button below to send your application to the NeighborImpact team. 

  • Unfortunately, your household does not meet the current eligibility requirements for rent assistance and your application will NOT be submitted. Please contact us if you have questions!

    Email: rentassist@neighborimpact.org 

    Phone: 541-323-0222

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