Service Provider Forms

Rental Assistance Program (RAP)

• ESG Eligibility Forms
• ESG Rental Assistance Agreement
• Housing Stability Plan 2019 (RAP)
• RAP Application
• Rent and Income Calculation Template 30%AMI (RAP)
• 2020 Rent and Income Calculation 50% AMI (RAP)
• Self Declaration of Housing Status Form (RAP)
• Self Declaration of Income (RAP)
• Certification of Zero Assets
• Certification of Zero Income

New Mexico Energy$mart

• A Citizen’s Guide to Radon (Energy$mart)
• Application - Multifamily (Energy$mart)
• Application - Single Family (Energy$mart)
• Application Cover Letter (Energy$mart)
• Assessor Diagnostic Test Worksheet (Energy$mart)
• Client Education Checklist (Energy$mart)
• Daily Air/Duct Sealing Form (Energy$mart)
• Daily Safety Test Out Form (Energy$mart)
• Deferral Document (Energy$mart)
• DWH Waiver (Energy$mart)
• Explanation Notary Form (Energy$mart)
• Health and Safety Worksheet (Energy$mart)
• HVAC Checklist (Energy$mart)
• Lead Safe Client Form (Energy$mart)
• Mold Client Form (Energy$mart)
• QCI Diagnostic Testing (Energy$mart)
• QCI Final Inspection Document (Energy$mart)
• Unemployed Notary Form (Energy$mart)