You must have JavaScript enabled to use this form. Contact Name First Name Last Name Type of Property - Select -Single FamilyMulti-FamilyGroup HomeSenior LivingOther Subsidies Accepted What type of rental assistance will you accept? Our clients have a variety of program funds available to them. Housing Choice Vouchers (Section 8) Veterans Affairs Supportive Housing (VASH) Emergency Housing Voucher Shelter Plus Care Voucher Rapid Rehousing (non-voucher rental assistance) Private Pay Property Name Address Address Address 2 City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Phone Email Message Interested in Lowering the Following Barriers Income Requirements Credit Criminal Background Eviction History Application and Administrative Fees The listed property owner/landlord has received information on the Low Barrier Housing Collective to understand how to access membership benefits and receive tenant referrals. Please Initial that you consent to the above statement. Agreeing to become a member of the LBHC is not a binding commitment to lease to all potential tenants referred through the Collective. It is an indication that the landlord is willing to consider tenants who may not meet typical rental criteria. Please initial that you consent to the above statement. If the landlord or property owner decides to withdraw membership and/or adjust their lowered barriers, written notice should be given to the Collective with either updated flexibility or request for withdrawal. Please initial that you consent to the above statement. The landlord/property owner agrees to provide monthly availability updates across eligible inventory for distribution to service provider partners via the LBHC internal website. These updates should include any changes in price. Please initial that you consent to the above statement. The landlord/property owner will provide the LBHC a copy of a blank lease for each participating property for service providers to review rental expectations with the potential applicant. Please initial that you consent to the above statement. The landlord will communicate in writing with the service provider and the LBHC if problems arise with participating households post-lease signing. Landlords commit to notifying the service provider in the event of any written notices, late rent, or damages to the unit. Please initial that you consent to the above statement. The landlord/property owner agrees to filing a landlord risk mitigation fund claim within 14 days of discovering damages, or if the tenant has vacated the unit, within 14 days of the tenant's move out. Please initial that you consent to the above statement. The landlord will ensure properties are well maintained over the length of the tenancy. Please initial that you consent to the above statement. The landlord will maintain the same rent amount for the duration of the lease. Please initial that you consent to the above statement. Date The landlord/property management company has read the Membership Agreement Form. By signing this form, the landlord/property owner understands the expectations of the Low Barrier Housing Collective and agrees to make full faith efforts to comply. Please type out your full name below as an electronic signature. Leave this field blank