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Client Attestation

You are receiving services with the support of funding ALRP receives from the Mayor’s Office of Housing and Community Development (MOHCD). Clients receiving these services are required to submit this attestation form. Thank you for helping us stay in compliance with our funders’ recordkeeping requirements!
I hereby certify that, to the best of my knowledge, all intake information I provided over the phone or by email to ALRP staff is true and correct. This includes information about my income and any public benefits assistance I receive. I understand this information is subject to verification only by authorized U.S. Department of Housing & Urban Development (HUD) officials for federally-funded grants.(Required)
ALRP's legal assistance is funded through the City and County of San Francisco’s homelessness prevention efforts. I understand that the civil legal services provided to me are meant to help address legal issues that may affect my housing stability, including benefits advocacy, consumer protection, housing rights, family law matters, employment rights, and other civil legal issues. By signing below, I acknowledge that this assistance supports my ability to maintain stability and helps reduce my risk of housing instability, displacement, or homelessness.(Required)
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