How to Apply



*Important: Check our Before You Apply Page to understand our Eligibility Requirments.
Application Checklist
1. Check
Eligibility
2. Gather Materials and Documents
3. Fill Out Our Application
4. Send Your Application In
1. Check Eligibility
Read our Before You Apply Page to understand our Eligibility Requirements. We approve eligibility based on home ownership, income level, and location. Read here for more details.
2. Gather Materials and Documents
In addition to our application, you will need:

Proof of Home Ownership
1 of the following:
- Property Tax Bill
- Mobile Home Registration
- Land Assessment

Proof of Annual Income
Each household member 18 and over is required to provide 3 months of recent, completed bank statements with transaction details.
Renters do not need to submit any documents but will need to provide a letter signed by the landlord as well as the renter, detailing how much rent they are paying on a monthly basis.
Check the chart below to see which documents we require.
For your security, please black out your Social Security Number and any account numbers on your forms before you mail them. We only need to see your name, address, and income.
PROOF OF OWNERSHIP – IF YOU PAY:

Property Taxes:
We require Property Tax Bill or Land Assessment (must have current year, name, and address).

Mobile Home Registration/Space Rent:
We require Mobile Home Registration (must have current year, name, and address).
PROOF OF OWNERSHIP – IF YOU RECEIVE:

Wages/Salary:
We require 3 months of recent pay stubs from your employment along with the supporting W-2.

Social Security Benefits:
We require Social Security Benefit Statement Letter (most current year).

Pension/Retirement Benefits:
We require 1099 (most current year).

Unemployment/EDD Benefits:
We require a full benefit summary/Benefit Statement.

If you filed for taxes in the last 2 years:
We require your most recent 1040 tax return (please include any additional forms attached).

Adults receiving no income will need to complete a zero-income affidavit:
Please contact RTSV for a copy of this document.
Regardless of the source/status of income…
Each household member is required to provide 3 months of recent bank statements. All statements must be complete.
Again, for your security, please black out your Social Security Number and any account numbers on your forms before you mail them.
We only need to see your name, address and income.
Once these documents have been collected or sent to RTSV staff, access an application by:
Accessing the document online by clicking below and doing one of the following:
- Download the application from our website (and fill it out on your computer electronically, or print the application out and fill it in by hand):
- Drop by the RTSV Office Monday – Friday between 9am – 4pm to pick up an application.
- Call the RTSV office at 408-578-9519 and we will send an application directly to your address.
3. Fill Out Our Application
Once you have an application, take your time to fill it out completely. If you have questions while filling out your application or need help printing documents, call us at 408-578-9519 or email .
Resources are limited, and applications are reviewed on a first come, first served basis. Applications are accepted year-round, however that does not guarantee repairs.
4. Send Your Application In
We will take your application by mail, email, or dropped off in person.