Se abrirá la aplicación en línea de Lunes, 21 de July de 2017 a las 12:00 AM se clausurará el Viernes, 4 de Agosto de 2017 en 23:59.

Transcripción

1 Hendry County Housing Section 8 Housing Choice Voucher Accepting Applications for Waitlist Pre-Applications Monday, July 21st until Friday, August 4, 2017 Hendry County Housing will be accepting Pre-Applications via the Internet/ON LINE and Paper Applications for the Section 8 Housing Choice Voucher program. The Internet/ON LINE Application will be available at: Hendry County Housing website Hendry County Housing will be accepting ON LINE applications for 2 weeks ONLY from July 21, 2017 until August 4, The On Line Application will open Monday, July 21, 2017 at 12:00AM and will close on Friday, August 4, 2017 at 11:59PM. Applications can be picked up from both the Clewiston and Labelle Office located at 1100 Olympia Avenue, Clewiston, FL and 133 N. Bridge Street, Labelle, FL If you are Elderly or a person with a Disability and need assistance or a Reasonable Accommodation in completing the application, please call (863) during the open enrollment time only for further instructions. You will need to leave your name and phone number for a return call. Your phone call will be recorded by date and time. Information you will need to complete the ON LINE Pre-Application: Names of all assisted household members Social Security Numbers for all assisted members Birth dates and place of birth of all assisted members Household income from all persons Preference, if claimed Hendry County must be able to verify the preference Hendry County Housing Sección 8 vales de elección de vivienda Aceptando en lista de espera línea pre-applications Lunes, 21 de Julio Viernes, 4 de Agosto de 2017

2 La autoridad de vivienda de la ciudad de Hendry County Housing estará aceptando aplicaciones previas a través de la línea de Internet/ON para el programa desección 8 Housing Choice Voucher. La aplicación de Internet/ON línea estará disponible en: Hendry County Housing Hendry County Housing estará aceptando en línea aplicaciones para sólo 2 semanas SOLO. Se abrirá la aplicación en línea de Lunes, 21 de July de 2017 a las 12:00 AM se clausurará el Viernes, 4 de Agosto de 2017 en 23:59. Si son ancianos o una persona con una discapacidad y necesita ayuda o unalojamie nto razonable para completar la solicitud, por favor llame a (863) durante el tiempo de inscripción abierta sólo para obtener más instrucciones. Tendrás que dejar tu nombre ynúmero de teléfono para una llam ada de retorno. La llamada telefónica seregistrarán por fecha y hora. Información que necesitará para completar la pre-solicitud ON LINE: Los nombres de todos los miembros del hogar asistidos Números de Seguridad Social para todos los miembros asistidos Fechas de nacimiento y lugar de nacimiento de todos los miembros asistidos Ingreso de todas las personas Preferencia, si reclama HACFM debe ser capaz de verificar la preferenci

3 _F{gndry County Fflousing A.gency F.O. Eox 2340, tr abelle, Fn. J3g7S Applicant Name: Resident Address: City, State: Frevious Name. ',A.partment #: Zip Code: City, State: Zip Code: Home Phone: Work #: Companion Work #: tr Single tl Married [] Separated fl Divorced tl Widowed Head offam. Social Security # (Check One) YesnNotr YeslNoD YeslNotr YestrNotr YestrNotr YesnNoD Is head of household or spouse legally disabled? Has anyone in your household been arrested for drues? Are you pregnant? Due Date: Does anyone live with you know *ffi.t D-oes anyone plan to live with you in the future who is not listed above? If yes explain: Are you a U.S. citizen? Are you a resident alien? Have you previously had a lease with subsidized housine? If 'Yes' give address and dates: Current residents only: Are you

4 Ernptroyment Head ofhousehold: Name ofemployer: City, State, Zip: Other Member in Household Name ofemployer: City, State, Zip: Rate ofpay Per Hour: # Hours AVeek: Phone #: Rate ofpay Per Hour: # Hours / Week: Phone #: Other fncome Sources Check One: Public Assistance n Monttrly Amount: $ Name ofcaseworker,_' AFDC tr : ;statesubsidy # of People on assistance: ; Phone#. fl Pension Social Security - Monthly Amount: $ S.S.I. Monttrly Amount: $ SocialSecurityBenefitspending: yes u No f] If 'yes, explain: i Unemployment - Monthly Amount: $ ; Child Support - Monthly Amount: $ Received From Name ofchild(ren): Alimony - Monttrly Amount: $ Other Family Contribution Amount: $ Received From: Pension - Monthly Amount: $--' Acc,t # _ person Receiving: Name And Mailing Address ofpensionplan: Aanuity - Monthly Amount: $ Name ofperson Receiving : Otherlncome Sources: $

5 If the head ofthe household or spouse is elderly or disabled, it may be possible to receive a reduction in rent for out of pocket medical expenses. submit to your Housing Agency, verificaiion of all medical expenses* for the last year which you paid and were not reimbursed by an insuiance p.*id., * Doctor, hospital, ambulance, prescriptions, dental, optical, supplemental hospital insurance, non-prescription medical supplies. Applicant Certification I/We certify that the information composition, income, net family knowledge and belief VWe assistance and termination of ten to the Hendry county Housing Agency Section g program on the household,, allowances and deductions is accurate and complete to the best of my/our d that false statements or information are grounds for termination of housine Signature ofhead: Signature of Companion: Date: Note To Applicants: Ifyou beli Opportunity National Toll-Free n you have been discriniiiiaied against, you may call the Fair Housing and Equal Line at (800)