Please fill out the application COMPLETELY.
Make sure ALL ADULTS sign where needed.
The Appendix C. form must be filled out for each family member, adults and children.
Section.8 application: Emergency contact form must be filled out by each adult.
Please attach copies of the following documents:
- BIRTH
CERTIFICATES FOR EACH FAMILY MEMBER
- SOCIAL SECURITY
CARDS FOR EACH FAMILY MEMBER
- PHOTO I.D FOR
ALL ADULT FAMILY MEMBERS
- FEDERAL TAX
RETURN FOR THE MOST RECENT YEAR (EVEN IF FILED JOINTLY)
- FOR SOCIAL
SECURITY/SSI RECEPIENTS: MOST RECENT AWARD LETTER OR CURRENT PRINTOUT
FROM THE SOCIAL SECURITY ADMINISTRATION
- FOR
EMPLOYMENT: PLEASE PROVIDE LAST 3
MOST CURRENT, CONSECUTIVE PAY STUBS
- FOR
UNEMPLOYMENT: PRINTOUT FROM THE
UNEMPLOYMENT OFFICE AND 3 MOST RECENT, CONSECUTIVE CHECK STUBS.
- VERIFICATION OF
CHILD SUPPORT (IF APPLICABLE)
- MOST CURRENT
BANK STATEMENT
- IF YOU HAVE A
PET, WE WILL NEED A COPY OF SHOT RECORDS AND SPAY/NEUTER RECORDS
- ADDRESS AND
PHONE NUMBER OF CURRENT AND FORMER LANDLORDS
- OUT-OF-POCKET MEDICAL EXPENSES (FOR
ELDERLY/DISABLED FAMILIES)
- ENROLLMENT
VERIFICATION FROM SCHOOL
- FINANCIAL AID
PRINTOUT
- CLASS SCHEDULE
The
completed application can be mailed to:
Russellville
Housing Authority
P.O.
Box 825
Russellville,
AR 72811
Or emailed to: frontdesk@russellvillehousingauthority.com
Or faxed to: 479-967-5493
Completed
applications will be date and time stamped upon receipt and will be put on the
waiting list with that date and time.
Incomplete
applications will NOT be processed until they are complete, and all information
has been provided by applicant.
Please
call 479-968-5440 if you have any questions.
Thank you!