Updated 2/10/23
San Francisco Emergency Rental Assistance Program (SF ERAP)
Participation Agreement Form
Program Participant Name : Nauer, Velma
Thank you for applying to San Francisco’s Emergency Rental Assistance Program (SF ERAP). Your
application has met minimum eligibility criteria and has been selected to move on to the next stage of
the process.
Your application will be processed by me ] at [MNC], one of the SF ERAP partner organizations. We are
working through a very high number of applications so please be patient during this process.
To move forward with your application, we still need the following information from you:
SF ERAP Agency & Telephone/Email: MNC Inspiring success homelessness.prevention@mncsf.org
( 415)653-5701
Assistance Amount
Assistance Purpose: Back rent for the months:
Payee Name(s):
I understand that I am receiving financial assistance from the San Francisco Emergency Rental Assistance
Program (SF ERAP) for the purpose of paying rent and/or move-in costs, as detailed above.
 I understand that there is a maximum financial assistance limit for SF ERAP and I may not be
eligible for additional financial assistance from this program in the same calendar year.
o
Please note, the SF ERAP Agency listed above can help you identify possible sources for
additional assistance.

I attest that the information provided for my SF ERAP application is true and accurate to the
best of my knowledge and that if I have knowingly provided false information, the assistance
detailed above may be subject to repayment.

I understand that if I have received assistance from the CA COVID-19 Rent Relief Program,
Season of Sharing or any other program for the same purpose detailed above (either partial or
complete duplication), I must immediately notify the SF ERAP Agency listed above of the
duplicated assistance. Duplicated assistance may be subject to repayment.
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Please note, the SF ERAP Agency listed above can help you with the process of
coordinating with the other program(s) to minimize repayment.
If receiving financial assistance payment directly:

I acknowledge that I will be receiving financial assistance payment directly and agree to use any
money received from SF ERAP towards my rent, for the specific purpose(s) detailed above.

I agree that I will provide the specified amount to my landlord or master tenant within 15 days
of receipt or I will be required to repay the funds to the SF ERAP Agency listed above.
By signing this form, you are agreeing to the above conditions.
Name _________________________________________
Signature ______________________________________
Date __________________________________________