Apply for emergency rental assistance
Form ERA-2024Use this form to request financial help with rent if you have experienced a sudden loss of income.
Who should use this form
- Grand Island resident with a current lease
- Experienced involuntary income loss in the past 90 days
- Household income at or below 80% of Area Median Income
Do not use this form if you need mortgage help — see Mortgage assistance.
What you need before you start
You cannot save and return. Gather all documents before you begin.
- Government-issued photo ID
- Current lease agreement
- Proof of income loss (termination letter, pay stubs, unemployment notice)
- Landlord name, phone, and mailing address
Time to complete: About 20 minutes
How to submit
Mail completed form to: Town of Grand Island Housing Office, 2255 Baseline Road, Grand Island, NY 14072
After you submit
You will receive a confirmation email within 24 hours. A housing specialist reviews your application and contacts you within 10 business days. If approved, funds are paid directly to your landlord.
Get help
Town of Grand Island Housing Office