Reconsideration Request

Applicants may present their case for reconsideration (including presenting documentation, explanations, and clarifications) in cases of an ineligibility determination or to dispute the amount of eligible assistance. You may request a reconsideration and upload supporting documentation through your online portal.

If you cannot access your account online, or have any questions on how to file your Reconsideration Request, please call our Customer Service Helpline at (833) 493-0594 or schedule a meeting with your eligibility specialists.

Reconsideration Request Form

Applicant

First Name ^*

Middle Name ^*

Last Name ^*

OUR Florida Application ID Number ^*

Property Address

Address Line 1 ^*

Address Line 2 ^*

City ^*

State ^* FL

Zip Code ^*

Check this box if your mailing address is different from the property address

Contact

Phone Number ^*

Email ^*

Application Status ^*

Document Upload

Include any documentation related to your request. Briefly describe the attachments you are including with this online form. For example, if you are including an eviction notice, please write "eviction notice" in the “Document Description” field below.

Describe the reason for your request in the space provided. Try to be as specific as possible. ^*

Signature ^*