Forms

Application Related Forms

1. Supplement to Application for Federally Assisted Housing
2. Applicant Information
3. Authorization for the Release of Information / Privacy Act Notice
4. Debts Owed to Public Housing Agencies and Terminations
5. Federal Privacy Act Notice
6. Disclosure of Information on Lead-Based Paint and Lead-Based Paint Hazards
7. Violence Against Women Act Acknowledgement
8. Declaration of U.S. Citizenship or Noncitizens with Eligible Immigration Status – print and complete this form for each person
9. Local Selection Preferences
10. Applicant Tenant Certification
11. Tenant Screening Questionnaire – print and complete this form for each adult
12. Earned Income Verification – print and complete this form for each adult
13. Notice of Eligibility Requirements
14. History of Earned Income – print and complete this form for each adult
15. Release for Criminal Records Search
16. Bank Accounts: You must provide bank statements from the previous six (6) months of all bank accounts – checking, saving, money market, etc.
17. Income Verification Forms (choose the appropriate form(s) for each individual):

• Verification of Employment
• Verification of Zero Income
• Verifications of Veteran’s Benefits
• Verification of Pension / Retirement Benefits
• Evidence of Self-Employment