WARNING:  Section 1001 of Title 18 of the United States Code

makes it a criminal offense to make willful false statements of

misrepresentation of any department or agency of the United States

as to any matter within its jurisdiction.

Delaware County Housing Authority

Housing Applications Online Form

The Following information is needed for filling out forms or

when applying for housing at

Delaware County Housing Authority:

 

     1. Complete name of each family member

     

     2. Full address - no post office box number will be accepted

    

     3. Proof of Citizenship and/or proof of Honorable Discharge from the Armed Forces

 

     4. Home and work telephone numbers

 

     5. Current monthly rental amount

 

     6. Photo ID (if available)

Information Needed

for each member

of your family.

 

Birth date

 

Social Security Number

 

place of birth

 

sex

 

race

 

marital status

 

any disabilities

 

highest grade completed

 

employment status

 

source of income

 

amount of income

 

how often they are paid

When you are called to come

in you will need to bring

copies of the following

for each family member.

 

 

Birth Certificate

 

Social Security Card

 

Proof of Income

 

Proof of residence

 

Proof of Disability

 

Photo ID (Adults Only)

 

For every member who

will be living in

the household.