RentFund - Rent Coverage Request Form

Step 1 of 8

Rent coverage request form.

Please complete this form to request coverage.

Rent Coverage Needed *

$

Rent coverage amount can not be more than your plan

When do you need coverage? *

Please pick the date when you'd like to receive coverage

Step 2 of 8

What's the reason for requesting coverage?

Providing as many details as possible helps us better understand your situation and increases your chances of approval.

Rent Coverage Request Reason *

Please Share *

Please share in your own words the situation

Proof of Issue (Upload Receipts or Documents) *

Step 3 of 8

Enter your rent payment details.

Rent Payment *

$

Lease Start Date *

Lease End Date *

Do you have a lease agreement? *

Upload Lease Agreement PDF

Landlord Full Name

Landlord Email Address

Landlord Phone Number

Step 4 of 8

What is your current employment status?

Employment status *

Total Monthly Household Income (after tax) *

$

This helps us determine your rent coverage

Step 5 of 8

Tell us about your current financial situation.

Current Monthly Savings *

$

How much are you saving per-month

Total Savings *

$

Have you ever purchase a home before? *

Step 6 of 8

Tell us a bit about your financial history.

Total Monthly Debt Payment *

$

Total Debt Amount *

$

Credit Score *

Step 7 of 8

What address are you wanting rent coverage for?

Address

Street Address *

City *

State *

Country *

Postal Code *

Step 8 of 8

Almost done-give us your basic details.

First Name *

Last Name *

Email Address *

Please enter the same email used for your RentFund membership

Phone Number *

Get your detailed plan faster by entering your phone number

Government Issued Photo ID *

Upload a valid government-issued ID (e.g., driver’s license, passport, etc.)

Date of Birth *

By submitting this form, I confirm that I have read and agree to the RentFund Terms of Use and Privacy Policy.

I understand that RentFund is not a lender or insurer, and that all coverage approvals, amounts, and repayment terms are determined by RentFund’s third-party lending partners based on their independent criteria. I acknowledge that submitting this form does not guarantee rent coverage or approval, and that all coverage limits and terms are subject to the assessment and discretion of RentFund’s lending partners.