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Request Rent Assistance During a Hardship

If you are an active Assurently member in the Fox Valley region facing sudden financial difficulty, you can request essential rent relief through our dedicated, community-funded support pool.
Who Can Request Assistance?
This program is designed to provide targeted support to our most committed members facing genuine crises. Please ensure you meet the following core criteria before applying.
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Active Membership Status
You must be an active Assurently member for a minimum of three months prior to the application date.
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Fox Valley Resident
Assistance is available exclusively for renters residing within Appleton, WI, and the greater Fox Valley service area.
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Verified Hardship
You must be facing a verified financial hardship due to an unexpected, significant event (e.g., job loss, medical emergency).
Assistance requests are reviewed confidentially within 7–10 business days. Approved funds are paid directly to your landlord to ensure prompt rent coverage.
Submit Request
Complete the secure online form and upload all necessary supporting documents.
Review & Verification
Our team reviews your details and verifies your hardship and eligibility (takes 7–10 business days).
Payment Sent
Upon approval, funds are securely transferred directly to your landlord for immediate rent relief.
Who Can Request Assistance?
Please complete the following form accurately and honestly. This information is critical for assessing your need and eligibility. You will receive an email confirmation once your request has been successfully submitted.
Rent Amount Requested
$
Reason for Hardship
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Your Information is Secure and Confidential
We understand the sensitivity of this information. All hardship requests and the documents you provide are handled with the utmost confidentiality. Your details are stored securely on encrypted servers and used exclusively for verifying your program eligibility.
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Encrypted Storage
Documents are protected by industry-leading security protocols.
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Confidential Review
Only authorized staff involved in fund allocation access your personal data.
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Data Compliance
We strictly adhere to all privacy and data protection standards.
Need Immediate Support or Assistance?

If you are experiencing technical difficulties with the submission form, or have urgent questions about the program criteria that were not answered here, please reach out directly to our dedicated support team.

Contact us at (PLACE HOLDER) or utilize the main contact form on our Support page for a guaranteed response within one business day.

We’re Here When You Need Us
Your active Assurently membership not only secures your tenancy but also fuels this essential community support pool, making a powerful difference for you and your neighbors in the Fox Valley region.
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Assurently provides renters with Financial security through an affordable memberhip

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Copyright: © 2025 Assurently, LLC – All Rights Reserved.

Business Address: 1835 E. Edgewood Dr., Suite 105 – 401, Appleton, WI 54913, United States

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