SAMPLE Housing Support Participant Budget
Simpson Housing Services OHP program

GRH Participant:  John Doe			Month:  Any Month

This budget is a SAMPLE and will vary depending on the optional things you choose to be paid from your budget each month (i.e., cable bill, phone, etc.)

If you receive General Assistance, your GA will be reduced to $111.00 

If you receive SSI, you’ll need to pay in all but $111 of your money each month, not to exceed $954.

EXPENSE	DATE PAID	AMOUNT	
Monthly Housing Support Rate
($954 or pro-rated amount)		
A.	   +$1, 091.00	
Administrative Costs
($35 or pro-rated amount)		-$35.00	
Housing stabilization pool
(funds for things like welcome baskets, stocking our hygiene supplies, food items, etc.)		-$15.00
	
Rent
		-$731	
Electricity
		Does not apply to all units, 
only Lamoreaux Expansion	
Monthly Bus Card
		-$45.00	
Household Needs
Specify: Laundry Quarters		-$20.00	
Total
Leftover funds to be spent on state approved household items
(see separate list)		
B.	$245.00	

Standard monthly excess amount if you receive a bus card is $245.00	

Standard monthly excess amount if you do not receive a bus card is $290.00

	

Items to be paid first from your budget each month
•	Rent
•	$35 Administrative cost
•	$15 to OHP Housing Stabilization pool
•	Electric (applicable only to residents in Lamoreaux Expansion)
•	Maintenance charges (i.e., key replacement)
•	$20 in quarters for laundry
•	$45.00 Monthly bus card (unless already received from another source).  You may choose to receive a maximum of 5 bus tokens per month instead of a monthly bus card.  These will be deducted from your monthly budget.  If you request more than 5 tokens in a month, you will be required to receive a bus card going forward.

Items that you can choose to receive each month and will be paid from your budget.  
You must turn in your bills as soon as you receive them.  We need a copy of the full bill to pay it.
•	Cable- only one cable bill allowed.  We cannot order premium channels, HD or DVR services.  We cannot pay for movies ordered through cable or online (no Netflix or movies ordered on your TV).
•	Internet- only one internet bill allowed
•	Phone – only one phone is allowed
•	Air Conditioner (for Continental residents only)
Excess funds (the amount left over after all the above items are paid) can be spent on state approved household items.  Your case manager will be notified of this amount on the 15th of each month.  Please see Housing Support Shopping Rules and Allowable Expense handout for details.