Sacramento Housing and Redevelopment Agency
HOUSING CHOICE VOUCHER WAITING LISTS PRE-APPLICATION (PROJECT-BASED ASSISTANCE)

If you need help completing the application process, please contact 916-440-1390.

The Sacramento Housing and Redevelopment Agency has opened the waiting list for specific sites that are part of the Housing Choice Voucher (HCV) program or Moderate Rehabilitation program which provide rental assistance to very low income families.

You must COMPLETE ALL SECTIONS of the form. All information provided is required and will be kept confidential If any section designated as "Required" is not completed the pre-application will not be accepted.
ONLY ONE PRE APPLICATION WILL BE ACCEPTED PER HOUSEHOLD.

Property: Phoenix Park

APPLICANT INFORMATION:

Select "Other" if your city is not listed and enter your city into the "Other City" box

8a.     
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If you do not have an SSN, please enter all 9's.
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If you do not have an SSN, please enter all 9's.
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If yes to the above, please check any and all of the following items that would help to best accommodate your disability:
$
.00
$
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$
.00 (ie, gas, electricity, water, etc. NOT phone, cable, or internet carrier bills):

List all family members who will be living with you (DO NOT include the person listed above). If you are the only person in your household, this table should remain blank. Please Note: The largest rental units we have can accommodate a family up to 8 people: the Head of Household and 7 members. We cannot accommodate families with more than 8 family members. Please list one member per line.

22. First Name* 23. Last Name* 24. Gender (M/F)* 25. Date of Birth* 26. Social Security Number* 27.Relationship*
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* Spouse includes partner, significant other, boyfriend, girlfriend
35. If your answer to 34 is "Yes", you must answer "Yes" to one of the following
36. If your answer to 34 is "Yes", you must answer the following question: