APPLICATION
PORTAL


For residents in

Darke, Greene, Montgomery and Preble counties

Application Process

Step 1 – Complete the Customer Application 
Step 2 – An MVCAP Intake Specialist will follow-up 
Step 3 – DO NOT upload any documentation until requested by an Intake Specialist. 

CARES funding provided by

APPLY NOW

RENT & UTILITY ASSISTANCE AND EMERGENCY SERVICES

Rental/Late Fee Assistance
Water
Gas
Electric
Bulk Fuel

Online Customer
Application

Download Application & Forms

Request Application

Self-Declaration of Income Form

Landlord Forms

Landlord Statement

Download Landlord Forms

Upload Landlord Documents

LEGAL CLINIC

Eviction Assistance/Tenant Issues
License Reinstatement
Sealing Criminal Record
Certificate of Qualification for Employment

NOTICE: Requesting or Submitting an Application for our Services does not make you a client of the MVCAP Legal Clinic.

Online Customer
Application

Self-Help Resources

Download Application & Forms

Upload Documentation

Landlord Forms

Landlord Statement

Download Landlord Forms

Upload Landlord Documents

Eviction Prevention - Help is Available

If you are a tenant struggling to pay rent, the Center for Disease Control issued a ban preventing your landlord from evicting you between September 4, 2020 to December 31, 2020 for failing to pay rent. To begin the help process, fill out an application for assistance and an eviction prevention declaration.

Eviction Prevention – CDC Info and Declaration (PDF)

Eviction Prevention Declaration (PDF)

Eviction Prevention Declaration (WORD)

 

Instructions:

1. Add your name, address, and your landlords name and email address to the Declaration document, sign, and the declaration.

2. If you complete the document online or from your phone, type your signature using /s/ before your name. Example:    /s/ Tina Tenant

3. Make a copy of your signed declaration

4. Email, send via U.S. Mail, or hand deliver this signed declaration to your Landlord in a way that allows you to get proof that the landlord received it.

5. All adults who have signed your lease must provide a separate declaration.