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Financial Hardship Statement for Rent or Utilities

Authored By: Alaska Legal Services
Contents

COVID-19 Hardship Statement fillable PDF form with instructions

COVID-19 Hardship Statement editable RichText form with instructions

COVID-19 Financial hardship statement form and instructions

Instructions for using this form if you cannot pay your rent:

If you are experiencing financial hardship because of COVID-19 that makes it so you can no longer pay your rent, you can delay eviction by filling out the Hardship Statement form, signing it, and providing a copy to your landlord before June 30, 2020. Keep a copy for yourself.

This statement does not get rid of your duty to pay rent - you will still owe your full rent for each month missed. All it does is delay any eviction hearings for nonpayment of rent until after June 30, 2020 or until the Governor declares the COVID-19 emergency to be over (whichever happens first).

This statement does not prevent or delay an eviction for misconduct, violation of the law, or violations of the lease other than inability to pay rent. The Alaska court system has postponed all FED actions, both new actions or actions that were already in process, until at least May 31, 2020. This does not include “emergencies” and may change. The order postponing cases will be reviewed every two weeks. You can check for new or updated court orders on the Alaska Court System’s COVID-19 Response Page at http://www.courts.alaska.gov/covid19/index.htm.

 

Instructions for using this form if you cannot pay your public utility bill:

If you are experiencing financial hardship because of COVID-19 that makes it so you can no longer pay all of your public utility bill, you can delay utility shutoff by filling out the Hardship Statement form, signing it, and providing a copy to your public utility provider before November 15, 2020 or until the Governor declares the COVID-19 emergency to be over (whichever happens first). Keep a copy for yourself too.

You are also required to negotiate and agree to a deferred payment plan with the public utility provider. Late fees are not permitted.

This statement does not get rid of your duty to pay your utility bill, or prevent the utility company from collecting the money owed later on. Filling out the Hardship form and agreeing to a payment plan means that your utility service cannot be shut off until November 15, 2020 or until the Governor declares the COVID-19 emergency to be over (whichever happens first).

 

IMPORTANT

Alaska Statute requires that this hardship statement is signed “under penalty of perjury.” That means legal action could be taken against a person who signs the hardship form but is not suffering from financial hardship. 

Financial Hardship means that due to COVID-19, a person’s income and assets cannot cover their own or their families food, housing, health care, and other goods/services necessary for health and wellness. If you have lost income because of the COVID-19 emergency, and cannot pay your rent or public utility bill as a result, then you are suffering from financial hardship.

 

 

 

Last Review and Update: Apr 16, 2020