Section 8 Housing Choice Voucher Program

Section 8 Pre-application

  1. Please complete this entire form.
  2. Incomplete pre-applications will not be accepted.
  3. If you are already on our Section 8 Housing Choice Voucher (HCV) waiting list, your record will be updated using the information that you give us now.
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HEAD OF HOUSEHOLD

Name
Address

SPOUSE/CO-HEAD OF HOUSEHOLD

Spouse or Co-head of Household?
Name

HOUSEHOLD & DEMOGRAPHIC INFORMATION

Tell us your family’s income for the year, before taxes. Include all family members.
Check if the head of household, spouse, or co-head
Are there other members of the household who have a disability?
Is the head of household a veteran?
Which best applies to your household?
Is the head of household, spouse, or co-head working or about to start working?
This is also called your residency preference.

We collect data on race and ethnicity in accordance with federal regulations. People of various races may also be of Hispanic ethnicity. Please indicate if you are Hispanic. Your answers will not affect your application.

The head of household is
The head of household is
What language do you prefer?

AGREEMENT

I hereby certify that the information I have provided in this pre-application is true and accurate. I understand that:

  • Any misrepresentation or false information will result in my application being canceled or denied, or in termination of housing assistance.
  • This is a pre-application for tenant-based rental assistance through DHCD and its regional administering agencies and is not an offer of housing.
  • At the time I rise to the top of the waiting list(s), I will be required to provide verification of the information I have provided here, in accordance with federal housing regulations and DHCD policy.
  • It is my responsibility to notify any one of DHCD’s regional administering agencies of any change of address in writing and I understand that my application may be canceled if I fail to do so.
  • My participation in the Section 8 housing program is subject to my being eligible and in compliance with HUD and DHCD regulations, and I will be subject to a criminal history check.
  • I agree that DHCD can share my information with other state agencies for the purposes of determining program eligibility.

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