Category: Housing Forms

Project Based Voucher Program Application

Post author By Miguel Melendez
Post date December 2, 2020
No Comments on Project Based Voucher Program Application

Pre-Application

Last Name: *

First Name: *

Middle Initial:

Social Security Number: *

Sex: *

Male

Female

Date of Birth: *

Place of Birth: *

Marital Status: *

Single

Married

Divorced

Widowed

Separated

I Consider Myself: *

White

African American

American Indian

Hispanic

Oriental

Asian/Pacific Islander

OtherOther

Current Address: *

Current Address:

Street

Apt/Suite/Trlr #

City

State/Province

Zip/Postal

Mailing Address:

Street

Apt/Suite/Trlr #

City

State/Province

Zip/Postal

Phone *

(999)999-9999

Email: *

Emergency Contact Name: *

Phone: *

(999)999-9999

Name of Landlord:

Phone:

(999)999-9999

Current Monthly Rent: *

Income Sources

Total gross monthly income of all household members who will be living with you: *

Do you or any household member who will be living with you have the following sources of income?

Wages

Welfare

Pension/Retirement

Unemployment

SSI

Social Security

Veteran Benefits

TANF/Cash Assistance

OtherOther

Screening Process

Are any household members a U.S. Veteran?

Yes

Are any household members disabled or handicapped?

Yes

If Yes, explain

How may we best accommodate the special needs of your family?

Have any household members been convicted of a crime? *

Yes

If Yes, Explain:

Is any household member subject to a state sex offender registration program in any state? *

Yes

If Yes, Explain:

Have any household members been evicted from a rental unit, moved while still owning rent and/or requested to repay money to a federal assisted housing program?

Yes

If Yes, Explain:

Are you currently receiving housing assistance?

Yes

If Yes, Where?

Have any household members ever been a tenant of any housing authority or any other federal housing program?

Yes

If Yes, Explain:

Family Composition

Persons Who Will Be Living With You *

Relationship to Applicant *

Date of Birth *

Sex *

Male

Female

Age *

Social Security Number *

Add Remove

Point System

Do you live in Nogales or Rio Rico *

Yes

Are you currently working more than 20 hours per week? *

Yes

If Yes, Where are you working?

Are you a victim of domestic violence?

Yes

Are you homeless?

Yes

Are any household members 62 years or older or with disabilities?

Yes

Are you a displaced family?

Yes

If Yes, Explain: *

Documents

In order to process your application the following ORIGINAL documents are required for all family members

Marriage License or Divorce Decree
Birth Certificate
Social Security Card
Driver's License or Picture ID (18 Years or Older)
Permanent Resident Alien Card, Passport or Naturalization Certificate
Proof of Income (18 Years or Older)
Proof of Current Address(Utility Bill or Rental Contract)

File Upload *

Maximum upload size: 104.86MB

PDF Files Only

I CERTIFY THAT ALL STATEMENTS ON MY PRE-APPLICATION ARE TRUE AND ACCURATE

Signature

Clear

Date: *

IMPORTANT: THE APPLICATION DATE WILL REFLECT THE DATE RECEIVED. ONCE YOU ARE ON THE WAITING LIST, YOUR FILE WILL BE DROPPED IF YOU FAIL TO REPORT CHANGES IN ADDRESS, INCOME, HOUSEHOLD COMPOSITION. IF YOU FAIL TO RESPOND TO ANY CORRESPONDENCE, UPDATE OR APPOINTMENT ETC., YOU MUST REAPPLY.

NOTE: PUBLIC HOUSING APPLICANTS ARE SUBJECT TO CRIMINAL, RENTAL, AND CREDIT RECORD CHECKS DURING THE SCREENING PROCEES.

reCAPTCHA

If you are human, leave this field blank.

Public Housing Pre-Application

Post author By Miguel Melendez
Post date December 1, 2020
No Comments on Public Housing Pre-Application

Pre-Application

Last Name: *

First Name: *

Middle Initial:

Social Security Number: *

Sex: *

Male

Female

Date of Birth: *

Place of Birth: *

Marital Status: *

Single

Married

Divorced

Widowed

Separated

I Consider Myself: *

White

African American

American Indian

Hispanic

Oriental

Asian/Pacific Islander

OtherOther

Current Address: *

Current Address:

Street

Apt/Suite/Trlr #

City

State/Province

Zip/Postal

Mailing Address:

Street

Apt/Suite/Trlr #

City

State/Province

Zip/Postal

Phone *

(999)999-9999

Email: *

Emergency Contact Name: *

Phone: *

(999)999-9999

Name of Landlord:

Phone:

(999)999-9999

Current Monthly Rent: *

Income Sources

Total gross monthly income of all household members who will be living with you: *

Do you or any household member who will be living with you have the following sources of income?

Wages

Welfare

Pension/Retirement

Unemployment

SSI

Social Security

Veteran Benefits

TANF/Cash Assistance

OtherOther

Screening Process

Are any household members a U.S. Veteran?

Yes

Are any household members disabled or handicapped?

Yes

If Yes, explain

How may we best accommodate the special needs of your family?

Have any household members been convicted of a crime? *

Yes

If Yes, Explain:

Is any household member subject to a state sex offender registration program in any state? *

Yes

If Yes, Explain:

Have any household members been evicted from a rental unit, moved while still owning rent and/or requested to repay money to a federal assisted housing program?

Yes

If Yes, Explain:

Are you currently receiving housing assistance?

Yes

If Yes, Where?

Have any household members ever been a tenant of any housing authority or any other federal housing program?

Yes

If Yes, Explain:

Family Composition

Persons Who Will Be Living With You *

Relationship to Applicant *

Date of Birth *

Sex *

Male

Female

Age *

Social Security Number *

Add Remove

Point System

Do you live in Nogales or Rio Rico *

Yes

Are you currently working more than 20 hours per week? *

Yes

If Yes, Where are you working?

Are you a victim of domestic violence?

Yes

Are you homeless?

Yes

Are any household members 62 years or older or with disabilities?

Yes

Are you a displaced family?

Yes

If Yes, Explain: *

Documents

In order to process your application the following ORIGINAL documents are required for all family members

Marriage License or Divorce Decree
Birth Certificate
Social Security Card
Driver's License or Picture ID (18 Years or Older)
Permanent Resident Alien Card, Passport or Naturalization Certificate
Proof of Income (18 Years or Older)
Proof of Current Address(Utility Bill or Rental Contract)

File Upload *

Maximum upload size: 104.86MB

PDF Files Only

I CERTIFY THAT ALL STATEMENTS ON MY PRE-APPLICATION ARE TRUE AND ACCURATE

Signature

Clear

Date: *

reCAPTCHA

If you are human, leave this field blank.

Income Sources

Screening Process

Family Composition

Point System

Documents

Income Sources

Screening Process

Family Composition

Point System

Documents

City of Nogales

Resources

Economic Development

Contact Us

Copyright © 2022 City of Nogales

Contact Us

520-287-6571

Address

777 N. Grand Ave
Nogales, AZ, 85621

Contact Form

Income Sources

Screening Process

Family Composition

Point System

Documents

Income Sources

Screening Process

Family Composition

Point System

Documents

City of Nogales

Resources

Economic Development

Contact Us

Contact Us

520-287-6571

Address

777 N. Grand Ave Nogales, AZ, 85621

Contact Form

777 N. Grand Ave
Nogales, AZ, 85621