Experiencing a Housing Crisis?

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Step 1 of 6 - Contact Information

Current Situation

Have you ever experienced domestic violence?*

Are you currently fleeing domestic violence?*

When did the domestic violence experience occur?*

Hidden

Do you need a confidential location to stay?

Where did you sleep last night?*

How long did you stay there?*

Before entering the previous situation where did you sleep?*

Will you be (or have you been) discharged without a housing destination?*

Approximate Discharge Date*

Do you have an eviction notice from the landlord or magistrate?*

Landlord

Magistrate

No Notice

Must vacate by date*

Approximate date this most recent episode of homelessness started*

A break in homeless episodes includes:
7 days or more in a rental unit, staying with family or friends, hotel or motel paid for by self
-or-
90 days or more in an institution such as hospital, jail, detox, or inpatient treatment.

Total months in last 3 years experiencing homelessness*

Number of episodes in past 3 years experiencing homelessness*

Do you identify as having a substance use disorder (either drugs and/or alcohol)?*

Are you interested in shared temporary housing until a permanent housing opportunity is available?*

If housing became available in another county would you be willing to move?*

Do you identify as being a member of the LGBTQ+ community?*

Select which of the following items you currently have:

State Issued ID, Driver's License, or Passport

Social Security Card

On a regular day where and when is it easiest to find you?*

Current Address*

Street Address Address Line 2 City State ZIP Code

Tell us more about your situation

Homeless Prevention Notice

We cannot process your application if your eviction is more than 21 days away. Please come back to complete your application immediately after you are within this 21 day window.

All applicants for Homeless Prevention assistance must meet income and other eligibility requirements. You will be asked to provide documentation including verification of household income and either a Magistrate’s Court Order of Eviction or a letter from the landlord stating the applicant is behind on rent and will be evicted within 21 days.

ECHO may not be able to serve everyone that needs assistance. You are encouraged to continue attempting to resolve your housing crisis through other community resources. 211 serves as a state resource guide and can be reached by dialing 211 from your mobile phone or visiting the 211.org website.

Please complete all fields to continue.

Documentation

We will need each of the following documents submitted. If you do not have them at this time, please begin attempting to get replacement copies.

Government Issued ID
Social Security card
Proof of income or verification of no income
Eviction notice (where applicable)

If you do not have access to a scanner or fax machine, cell phone pictures of your documents are sufficient. Office DEPOT/OfficeMax is also offering FREE faxing and scanning services in all of their retail stores (limits apply). Faxed documents should be sent to 843-213-1800.

Upload Identifying Documents

Drop files here or

Accepted file types: jpg, gif, png, jpeg, bmp, pdf, Max. file size: 5 MB, Max. files: 10.

Please upload a copy of the photo IDs, social security cards, or other valid identifying documents you have available for all household members.
Cell phone photocopies are sufficient. Uploads are encrypted in transit and at rest once uploaded for your security.

Upload DD-214

Drop files here or

Accepted file types: jpg, gif, png, jpeg, bmp, pdf, Max. file size: 5 MB, Max. files: 10.

Please upload a copy of your DD-214 if available.
Cell phone photocopies are sufficient. Uploads are encrypted in transit and at rest once uploaded for your security.

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Upload Income Documentation

Drop files here or

Accepted file types: jpg, gif, png, jpeg, bmp, pdf, Max. file size: 5 MB, Max. files: 4.

Please upload your last 2 payroll stubs, or your last statement for any unemployment insurance, SSI, SSDI, VA Disability Compensation, private disability insurance, Worker's Compensation, TANF, retirement, pension, child support, alimony, or any other regular income source.
Cell phone photocopies are sufficient. Uploads are encrypted in transit and at rest once uploaded for your security.

Upload Notice to Vacate*

Drop files here or

Accepted file types: jpg, gif, png, jpeg, bmp, pdf, Max. file size: 6 MB, Max. files: 2.

Please upload any formal notices from the landlord, magistrate, or other supporting documentation.
Cell phone photocopies are sufficient. Uploads are encrypted in transit and at rest once uploaded for your security.

Upload Notice from Hotel or Motel*

Drop files here or

Accepted file types: jpg, gif, png, jpeg, bmp, pdf, Max. file size: 6 MB, Max. files: 2.

Please upload a letter from the hotel on letterhead or invoice from the hotel that shows past due balance.
Cell phone photocopies are sufficient. Uploads are encrypted in transit and at rest once uploaded for your security.

	Persons in Family/Household Size
	1	2	3	4	5	6	7	8
Chester County	15,060	20,440	25,820	31,200	34,350	36,900	39,450	42,000
Clarendon County	15,060	20,440	25,820	31,200	36,580	40,350	43,100	45,900
Darlington County	15,060	20,440	25,820	31,200	34,350	36,900	39,450	42,000
Dillon County	15,060	20,440	25,820	31,150	33,650	36,150	38,650	41,150
Florence County	16,250	20,440	25,820	31,200	36,580	41,960	47,340	51,000
Georgetown County	15,950	20,440	25,820	31,200	36,580	41,960	47,100	50,100
Horry County	16,700	20,440	25,820	31,200	36,580	41,960	47,340	52,500
Kershaw County	16,700	20,440	25,820	31,200	36,580	41,960	47,340	52,350
Lee County	15,060	20,440	25,820	31,150	33,650	36,150	38,650	41,150
Marion County	15,060	20,440	25,820	31,150	33,650	36,150	38,650	41,150
Marlboro County	15,060	20,440	25,820	31,150	33,650	36,150	38,650	41,150
Sumter County	15,060	20,440	25,820	31,200	36,580	40,900	43,750	46,550
Williamsburg County	15,060	20,440	25,820	31,150	33,650	36,150	38,650	41,150

Name	Relationship to Head of Household	Actions

There are no Household Members.

Experiencing a Housing Crisis?

Coordinated Entry System Assessment

Service Area

Getting Help Through Coordinated Entry System

Contact Information

Confirm Information

Current County: Update information

Veteran Status: Update information

Current Living Situation: Update information

Email Address: Email Required Update information

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Demographic Information

Household Information

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Current Situation

Homeless Prevention Notice

We cannot process your application if your eviction is more than 21 days away. Please come back to complete your application immediately after you are within this 21 day window.

Please complete all fields to continue.

Additional Information

HP Scoring

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Additional Information

Acuity Tool

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Documentation

Stay Connected with Email Updates

Experiencing a Housing Crisis?

Coordinated Entry System Assessment

Service Area

Getting Help Through Coordinated Entry System

Privacy Statement

Contact Information

Confirm Information

Current County: Update information

Veteran Status: Update information

Current Living Situation: Update information

Email Address: Email Required Update information

Please complete all fields to continue.

Demographic Information

Household Information

Please complete all fields to continue.

Current Situation

Homeless Prevention Notice

We cannot process your application if your eviction is more than 21 days away. Please come back to complete your application immediately after you are within this 21 day window.

Please complete all fields to continue.

Additional Information

HP Scoring

Please complete all fields to continue.

Additional Information

Acuity Tool

Please complete all fields to continue.

Documentation