COVID-19 Income Loss

'County of Primary Residence' and 'Number of total household members' must be selected before options appear here.

Address / Contact Info

You will receive a summary of this application via email as well as a link to look up the status of your application at any time.
Iowa Workforce Development will use this to verify the eligibility of this application

Household Members

Please provide the requested information for each member of your household (including children) even if there was no loss of income for each individual member.

Data for the first member provided below should be for the applicant and should match the data from the previously provided contact info.

Member 1
Member 1
Iowa Workforce Development will use this to verify the eligibility of this application

Assistance Needed

This can include manufactured home or lot rent. Please enter dollar amount to the nearest whole dollar (e.g. $425).
If you live with roommate(s), please provide only the rent amount for which you are responsible.
This amount is subject to verification and is not a guarantee of financial assistance.

OR


OR










Landlord Info

Certification

I certify that the information presented in this application is true and accurate to the best of my knowledge and belief. I authorize the Iowa Finance Authority and participating agencies, to verify and investigate such information, including my legal status to be in the United States, with my full cooperation at any time. I understand that providing false, misleading or incomplete information may result in the application being declared void. I understand that it is a criminal violation under Iowa law to make a false statement in writing for the purpose of procuring assistance from a state agency.

I understand that all information submitted to IFA related to this application is subject to Iowa's Open Record Law (Iowa Code, Chapter 22). Furthermore, I am aware that funds will not be disbursed until I have been determined to be eligible and my landlord has submitted the proper certification.

Please enter your full name