Rental Assistance Forms

APPLICANTS:

 

Rental Assistance Application: Complete this form and return IN PERSON to apply for rental assistance. Please  bring birth certificates and social security cards for all household member along with current government issued photo IDs for all adults (18+ years old) in the household. ALL ADULTS must come to sign additional paperwork required for a COMPLETE application to be accepted and placed on the waiting list. Applications WILL NOT be accepted by mail, email, fax, etc.
 

PARTICIPANTS:

Income/Asset Form (for annual renewals): We must re-evaluate your household/financial situation on an annual basis, use this form to renew your HCV contract.

Release of Information:  Consent form for verifying income/asset resources. Must be signed annually.

Family Obligations: Your responsibilities as a rental assistance applicant/tenant. Must be signed annually.

Change Form: Use to report any household or financial change.

Intent to Vacate form: Are you planning to move? Complete and return this form 30 days before your move out date. If you want to take your assistance with you, call our office - more paperwork will be required.


 

LANDLORDS:

Request for Tenancy Approval: All tenants who have a current voucher should have a copy of this form. This form is used to inform the housing authority that the tenant has found a unit they are interested in renting. The form should be completed in its entirety for our inspectors to review and determine if the unit is financially reasonable for the tenant. This form is also required before our inspectors will schedule an inspection on any unit.

Mission Statement:

“Region XII Regional Housing Authority's mission is to provide low-income, very low-income, and extremely low-income families access to affordable, safe, decent and sanitary housing and promote personal, economic and social upward mobility with opportunities to transition from subsidized to non-subsidized housing.”

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