UniteCT Appeal Process

This form is for clients appealing their case for the following UniteCT programs:

1) The Eviction Prevention Fund
2) Moving Assistance Program
3) Workforce Rental Assistance Program 

Status of tenant's case.*

You may proceed.

Stop. 

Tenant should reach out to their Case Supervisor or Call Center (1-844-864-8328) to get their questions answered. 

Stop. This form is to appeal a decision of a previous case. 

If the tenant wants to start a NEW case to receive security deposit assistance, they should first find a new landlord willing to work with them. If the tenant has a new landlord, and they are eligible (check eligibility criteria here), then they may call the Call Center to create an application. The Call Center's number is 1-844-864-8328

Stop. You should not appeal. Please call the Call Center who can answer your question.

The Call Center's number is 1-844-864-8328

Submit a UniteCT Appeal

Who are you?*
Tenant's Name*
Landlord's Name
UniteCT staff member name


Tenant's Name*


Which program did the tenant apply to?

Below are important guidelines about the Eviction Prevention Fund.

I understand that I can only receive assistance from the Eviction Prevention Fund ONE TIME. *
I understand that fines and fees are NOT covered by the Eviction Prevention Fund. *
I understand that the Eviction Prevention Fund does NOT pay for forward rent.*


Optional: Provide the direct link to your Judicial record.

You can find your record by searching here: https://www.jud.ct.gov/housing.htm

Reason for Appeal

Reason for Appeal 

Reason for Appeal

REQUIRED: Describe the reason for your appeal in full detail

I confirm that I added as much detail as possible above.

Optional: Upload any supporting documentation

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