Do I need a notary for the Statement of Insufficient Resources?

No. The form provides signature and date lines for the participant and ESG staff, with no notary block or notarized attachment specified.

Who completes the Statement of Insufficient Resources?

The participant certifies that they lack sufficient resources and support networks to maintain housing without ESG assistance. ESG staff also completes a separate certification.

When is this form completed?

The form says it should be completed at every evaluation of the participant’s eligibility for Rapid Re-housing or Homelessness Prevention assistance.

How do I submit the Statement of Insufficient Resources?

The document does not specify a submission method. Submit it to the city department named on the form and check the city website for current contact details.

Pasadena, TX · Harris County

No notary required

Statement of Insufficient Resources

This form records a participant’s certification that they lack the resources and support networks needed to maintain housing without Emergency Solutions Grants assistance.

What this form is

The Statement of Insufficient Resources is used when evaluating a participant for Rapid Re-housing or Homelessness Prevention assistance. The participant certifies that they lack sufficient resources and support networks to retain or maintain housing without ESG assistance, and ESG staff separately certifies that due diligence was completed. The form requests the client’s name, HMIS client identifier, date, and dated signatures from the client and ESG staff.

Who needs it

Participants evaluated for Rapid Re-housing or Homelessness Prevention assistance complete this certification, and ESG staff also signs and dates it.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the participant and ESG staff each sign and date their certification.

How to submit this form

1
Download the Form
Download the Statement of Insufficient Resources PDF.
2
Complete the Form
Enter the client name, HMIS client identifier, and date; the participant completes and dates their certification.
3
Complete ESG Staff Certification
ESG staff completes the due-diligence certification and signs and dates it.
4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Statement of Insufficient Resources?: No. The form provides signature and date lines for the participant and ESG staff, with no notary block or notarized attachment specified.
Who completes the Statement of Insufficient Resources?: The participant certifies that they lack sufficient resources and support networks to maintain housing without ESG assistance. ESG staff also completes a separate certification.
When is this form completed?: The form says it should be completed at every evaluation of the participant’s eligibility for Rapid Re-housing or Homelessness Prevention assistance.
How do I submit the Statement of Insufficient Resources?: The document does not specify a submission method. Submit it to the city department named on the form and check the city website for current contact details.

Need something notarized?

This Statement of Insufficient Resources doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.