Experiencing a Housing Crisis?

Coordinated Entry System Assessment

"*" indicates required fields

Location Information

Total Care for the Homeless Coalition (TCHC) is a Continuum of Care with a service area that includes the South Carolina counties of Chesterfield, Clarendon, Darlington, Dillon, Florence, Georgetown, Horry, Kershaw, Lee, Marion, Marlboro, Sumter, and Williamsburg. Eastern Carolina Housing Organization (ECHO) is also able to serve qualifying Veterans in the North Carolina counties of Columbus, Robeson, and Scotland.

ECHO and other TCHC participating agencies serve eligible households that are referred directly from TCHC's Coordinated Entry System (CES). CES is a process that assesses, prioritizes, and refers households experiencing a housing crisis to available housing opportunities within TCHC’s service area. Because housing resources are limited, this process is designed to prioritize the most vulnerable individuals and families.

Completing this form in no way guarantees services beyond being accessed for the TCHC Coordinated Entry System. Everyone is encouraged to continue attempting to resolve their 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. You can learn more about TCHC and Coordinated Entry System at the TCHC Website here.

What county are you currently located in?*

Select your current county.

Veteran Status*

You have indicated that you are not within our qualifying service area however there are still resources available for you. 211 serves as a resource listing and we encourage you to dial 211 from a mobile phone or visit:

What is your current situation?*

I am currently experiencing homelessness.

I am in danger of becoming homeless or I am being evicted.

Hidden

Non-Veterans

TCHC does not currently have any service providers offering homelessness prevention, eviction prevention, or rental assistance programs available in your county.

We suggest calling 2-1-1 to get connected to other community resources in your area that may be able to help you.

Eviction Prevention/Homeless Prevention Eligibility Notice
Updated as of 01/23/2023

If you are being evicted, please confirm that you meet the basic eligibility guidelines below before proceeding with your Get Help application form. Applications that do not meet these eligibility guidelines cannot be processed.

Applicants must have:

A formal notice stating that eviction will occur within 21 days.
Examples: Letter from a landlord, Magistrate’s Court notice
The total annual gross income (all household members 18+) must be within allowable Income Limits for household size specific to the county they are currently in (see chart below).
Applicants must be facing financial hardship as a result of COVID-19 (includes increased expenses, layoffs, reduced hours, unpaid leave, shutdowns, and closures beginning on March 10, 2020 or after).

	Persons in Family/Household Size
	1	2	3	4	5	6	7	8
Chesterfield	21,800	24,900	28,800	31,100	33,600	36,100	38,600	41,100
Clarendon	22,150	25,300	28,450	31,600	34,150	36,700	39,200	41,750
Darlington	22,050	25,200	28,350	31,500	34,050	36,550	39,100	41,600
Dillon	21,800	24,900	28,800	31,100	33,600	36,100	38,600	41,100
Florence	24,650	28,150	31,650	35,150	38,000	40800	43,600	46,400
Georgetown	25,900	29,600	33,300	36,950	39,950	42,900	45,850	48,800
Horry	25,350	28,950	32,550	36,150	39,050	41,950	44,850	47,750
Kershaw	25,250	28,850	32,450	36,050	38,950	41,850	44,750	47,600
Lee	21,800	24,900	28,800	31,100	33,600	36,100	38,600	41,100
Marion	21,800	24,900	28,800	31,100	33,600	36,100	38,600	41,100
Marlboro	21,800	24,900	28,800	31,100	33,600	36,100	38,600	41,100
Sumter	22,500	25,700	28,900	32,100	34,700	37,250	39,850	42,400
Williamsburg	21,800	24,900	28,800	31,100	33,600	36,100	38,600	41,100

HUD FY 2023 Income Limits Documentation System

If referred to a program, households will be required to provide verifiable documentation to confirm eligibility, including but not limited to:

State-issued ID
Social Security Card
Eviction Notice
Proof of Income
Proof of COVID Relativity

If you do not meet these eligibility requirements, please reach out to other community resources that may be able to help you by calling 2-1-1.

Please understand that assistance is limited, and completing an application does not guarantee that you will receive assistance.

Horry County Emergency Rental Assistance Program (ERAP)
Updated as of 06/14/2021

The Emergency Rental Assistance Program (ERAP) was created to help renters dealing with financial challenges related to the COVID-19 pandemic. For eligible households, the program offers rental and utility assistance to help residents of Horry County avoid eviction and maintain housing stability.

Start Online ERAP Application

Homelessness Prevention Eligibility*

I have read the Homelessness Prevention eligibility guidelines and understand that if I am referred to a program, I am required to provide verifiable documentation to prove eligibility. I understand that assistance is limited and I may not receive assistance, even if I am eligible.

Consent*

I agree to allow for my information to be entered into a secure and encrypted database. I also understand that I may be contacted by a coordinating service provider regarding my housing crisis.

Privacy Statement

Summary Overview
This organization provides services for individuals and families at risk of or experiencing homelessness. This organization participates in the South Carolina Homeless Management Information System (SC HMIS) and/or the four Continuums of Care’s Coordinated Entry System (CES).
The SC HMIS is used to collect basic information about clients receiving services from this organization. This requirement was enacted to get a more accurate count of individuals and families experiencing homelessness, and to identify the need for different services.
The SC CoC’s CES is used to connect individuals and families at risk of or experiencing homelessness to the services they need.
This organization only collects information that is considered appropriate and necessary. The collection and
use of all personal information are guided by strict standards of privacy and security.
This organization may use or disclose information from the SC HMIS and / or the TCHC CoC’s CES under the following circumstances:
• To provide or coordinate services for an individual or household;
• For functions related to payment or reimbursement for services;
• To carry out administrative functions;
• When required by law;
• For research and / or evaluation; or
• For creating deidentified data.

Uses, Risks, and Protections
• Information you provide to this organization will be entered into the HMIS and shared with partner organizations unless you opt-out.
• You will receive the same services, whether you allow your personal information to be entered in the HMIS and shared with partner organizations or not.
• Your personal information that is in the HMIS will not be shared with any other people or organizations outside of HMIS unless you say it can be.
• Your personal information that is in the HMIS will not be shared with any other government organizations except as required by law.
• Personally Identifying Information (PII), such as names, birthdays, and social security numbers, will be available to partner organizations in the HMIS for seven years.
• Although careful measures are taken to protect the personal information entered in the HMIS, it may be possible that a person could access your information and use the information to locate you, commit identity theft, or learn about sensitive personal information entered in the HMIS.
• Your data is protected by legal agreements signed by Users of the HMIS and by electronic encryption of your personal information.

Your Rights and Choices
• Information you provide to this organization will be entered into the HMIS and shared with partner organizations unless you opt-out.
• You will receive the same services, whether you allow your personal information to be entered in the HMIS and shared with partner organizations or not.
• Your personal information that is in the HMIS will not be shared with any other people or organizations outside of HMIS unless you say it can be.
• Your personal information that is in the HMIS will not be shared with any other government organizations except as required by law.
• Personally Identifying Information (PII), such as names, birthdays, and social security numbers, will be available to partner organizations in the HMIS for seven years.
• Although careful measures are taken to protect the personal information entered in the HMIS, it may be possible that a person could access your information and use the information to locate you, commit identity theft, or learn about sensitive personal information entered in the HMIS.
• Your data is protected by legal agreements signed by Users of the HMIS and by electronic encryption of your personal information.

Contact Information

Contact Phone*

No Phone

I do not have a phone

Email Address*

If you do not have an email address you may visit gmail.com or outlook.com to get a free email address.

Alternate Contact Name*

Relationship to Alternate Contact*

Alternative Contact Phone*

Is an agency or person assisting you with this application?*

Name of Person Directly Assisting You*

Contact Number for Person Directly Assisting You*

Name of Assisting Agency or Organization*

How did you hear about ECHO?*

Please specify:*

Confirm Information

Current County: Update information

Veteran Status: Update information

Current Living Situation: Update information

Email Address: Email Required Update information

Current Situation

Have you ever experienced domestic violence?*

Are you currently fleeing domestic violence?*

When did the domestic violence experience occur?*

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 for individuals seeking recovery where you could stay 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

Is your current situation a result of financial hardship related to COVID-19?*

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.

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 adult household members.
Cell phone photocopies are sufficient. Uploads are encrypted in transit and at rest once uploaded for your security.

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 Proof of Decrease in Income/Employment Due to COVID-19

Drop files here or

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

Please upload any documentation you may have pertaining to a decrease of income related to COVID-19.
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.

Name	Relationship to Head of Household	Actions

There are no Household Members.

Experiencing a Housing Crisis?

Coordinated Entry System Assessment

Location Information

Non-Veterans

TCHC does not currently have any service providers offering homelessness prevention, eviction prevention, or rental assistance programs available in your county.

We suggest calling 2-1-1 to get connected to other community resources in your area that may be able to help you.

Contact Information

Confirm Information

Current County: Update information

Veteran Status: Update information

Current Living Situation: Update information

Email Address: Email Required Update information

Demographic Information

Household Information

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.

Additional Information

HP Scoring

Additional Information

Acuity Tool

Documentation

Stay Connected with Email Updates

Experiencing a Housing Crisis?

Coordinated Entry System Assessment

Location Information

Non-Veterans

TCHC does not currently have any service providers offering homelessness prevention, eviction prevention, or rental assistance programs available in your county. We suggest calling 2-1-1 to get connected to other community resources in your area that may be able to help you.

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

Demographic Information

Household Information

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.

Additional Information

HP Scoring

Additional Information

Acuity Tool

Documentation

TCHC does not currently have any service providers offering homelessness prevention, eviction prevention, or rental assistance programs available in your county.

We suggest calling 2-1-1 to get connected to other community resources in your area that may be able to help you.