Emergency Rental Assistance (ERA1) Program grantees use this form to return funds that were unable to be obligated and expensed by the end of the Period of Performance and pay other amounts related to award closeout to the U.S. Department of the Treasury (Treasury).

To successfully complete all the required fields in the form, make sure to use the notice received from Treasury, which includes the full amount to return, for the Grantee information section. If needed, the ACH Company ID is 2001000108.

Accepted Payment Methods:

• Bank account (ACH)
• PayPal account
• Debit card

With an account you can:

• See the payments you made since you created an account.
• Store payment information so you don't have to re-enter it.
• Copy a form you already submitted the next time you need to make a payment.

To take advantage of these benefits, you can Sign In . If you don't have an existing account, you will have the option to create an account on the sign-in page. To continue as a guest user, click the 'Continue to the Form' button.