(808) 379-2532


(808) 379-2532


Rent & Utility Assistance

Read Below for information on how to apply for our rental and utility assistance program.

EFSP

We are currently accepting applications for our EFSP program. We are able to assist with: 
● ONE MONTH of utility assistance OR● ONE MONTH of rental assistance OR● ONE MONTH of mortgage assistance
We are UNABLE to assist with Security Deposits for rentals or utilities. To apply, please email us at gro.orezeveihca%40ofni with the following information: 
Rental Assistance:
● Name and DOB of ALL household members● Copy of ID for ALL Household members● Social Security number for all adults● Copy of Lease Agreement ● Letter of Need stating WHY you are in need of assistance● At least TWO (2) months of pay stubs● Proof of Benefits (SNAP, TANF, SSI, GA, etc.)● Ledger from Landlord stating the AMOUNT DUE and for which MONTH● Contact phone number for head of household● Email address if available
Utility Assistance (Electric, Gas, Sewer, Water):
● Name and DOB of ALL household members ● Copy of ID for ALL household members ● Social Security number for all adults● Letter of Need staying WHY you are in need of assistance● At least TWO (2) months of pay stubs ● Proof of benefits (SNAP, TANF, SSI, GA, etc.● Utility bill OR Cut-off/shut-off notice● Metered utility verification form OR Billing and payment history from vendor ● Contact phone number for head of household
● Email address if available

Required Forms

The following forms must be completed, signed, dated, and returned to Achieve Zero before your request for assistance can be processed.

Client Consent Form

Allows Achieve Zero to provide appropriate services on the applicant's behalf

Release Form

Allows Achieve Zero to obtain/release confidential information on applicant's behalf