Lynwood, CA · Los Angeles County

No notary required

Tenant Based Rental Assistance Preliminary Application

Lynwood residents seeking rental assistance complete this preliminary application to indicate household eligibility and request screening for the Tenant Based Rental Assistance Program.

What this form is

This preliminary application screens Lynwood renter households for the Tenant Based Rental Assistance Program. Applicants complete every page with household, income, contact, and qualifying-population information; a property owner or manager also completes the attached participation form. The city says submitting the form does not guarantee approval or reserve funds, and asks applicants not to include supporting documentation with this form.

Who needs it

Lynwood renters seeking rental assistance who meet the stated income and household criteria should complete the preliminary application, with their property owner or manager completing the attached participation form.

How to submit it

Submit the completed form to the Community Development Department, Attn: Antonio Solorzano, Tenant Based Rental Assistance Program, 11330 Bullis Road, Lynwood, CA 90262, or email [email protected]. Do not include supporting documentation with this form.

About notarization

This document is signed without a notary; the applicant and property owner or manager sign and date their respective sections, and no notarized or sworn attachment is specified.

How to submit this form

  1. 1

    Download The Form

    Download the six-page Tenant Based Rental Assistance Preliminary Application PDF.

  2. 2

    Complete Every Page

    Fill in the applicant, qualifying-population, household, and income sections, and sign and date the applicant acknowledgment.

  3. 3

    Ask The Property Owner To Complete Their Section

    Have the property owner or manager complete and sign the attached Program Participation Payment Acceptance Form.

  4. 4

    Submit The Form

    Send the completed form to the Community Development Department by mail or email. Do not attach supporting documentation.

Frequently asked questions

Do I need a notary for the TBRA Preliminary Application?
No. The applicant and property owner or manager sign and date their sections; the document does not specify a notarized or sworn attachment.
How do I submit the TBRA Preliminary Application?
Send the completed form to the Community Development Department, Attn: Antonio Solorzano, at 11330 Bullis Road, Lynwood, CA 90262, or email [email protected]. Do not include supporting documentation with this form.
Who can apply for the Lynwood rental assistance program?
The form asks applicants to confirm Lynwood residency, a current lease, household income below the stated limit, eligible household status, no other rental subsidy, and landlord or property manager participation.
Does submitting this preliminary application guarantee assistance?
No. The form says submission does not guarantee approval or reserve funds. Eligibility and supporting documentation are verified later if the household is selected to proceed and funds are available.

Need something notarized?

This Tenant Based Rental Assistance Preliminary Application doesn’t need a notary — but if you have another Lynwood form that does, a commissioned online notary can help.