Public Housing Waitlist Application


IMPORTANT! MOBILE PHONES AND TABLETS ARE NOT SUPPORTED FOR ENTERING APPLICATIONS. IF YOU EXPERIENCE PROBLEMS ENTERING AN APPLICATION USING EITHER A MOBILE PHONE OR TABLET PLEASE USE A COMPUTER WITH THE LATEST VERSION OF FIREFOX, CHROME, INTERNET EXPLORER, OR SAFARI FOR FULL SUPPORT!

FRAUD NOTICE

You are committing fraud if you provide information and/or sign a form knowing that you provided false or misleading information. The information you provide on housing assistance application and forms will be checked. The local housing agency, HUD, or the Office of Inspector General will check the household composition, income and asset information you provide with other Federal, State, or local governments and with private agencies. Providing and/or certifying false information is fraud.

If you commit fraud to obtain assisted housing from HUD, you could be:

• Evicted from your apartment or house.
• Required to repay all overpaid rental assistance you received.
• Fined up to $10,000.
• Imprisoned for up to five years.
• Prohibited from receiving future assistance.
• Subject to State and local government penalties.

CLICK TO CONTINUE!


Welcome to the EBRPHA Online Application website, here you can check the status of your Public Housing Applications in real-time. You can also apply to the Public Housing program, to begin enter your Social Security Number and click Submit.

We have no application for the Social Security Number in our system.
If you are sure you entered the correct Social Security Number and wish to apply to the Public Housing Waiting List click

Are you sure that you have entered the correct Social Security Number?
Your Social Security Number will be verified when you are called in for an eligibility interview, if your the Social Security Number entered doesn't match the number on your Social Security card your application will be withdrawn.
To continue click

HEAD OF HOUSEHOLD INFORMATION/APPLICANT INFORMATION
IMPORTANT! The Applicant Name in this section must match the Social Security Number that was entered at the start of the application!
SSN First Name Last NameDate of Birth Sex Disabled? Race (Check all that apply) Ethnicity
###-##-####



     

Contact Information
AddressCityState Zip 
 
Telephone Email  
 



Do you qualify for a reasonable accommodation due to a disability?

Does anyone in your household require a unit with handicap accessible features?

FAMILY MEMBER INFORMATION
Important! Only list family members that will live with you if your application is approved.

DO NOT LIST YOURSELF AGAIN IN THE SECTION!

# First Name Last Name SSN Date of Birth Sex Disabled Relationship
2
3
4
5
6
7
8
PROPERTY SELECTION

Please select up to three (3) properties where you want to live;

Please select at least one property.
You may only select three (3) properties.

ELDERLY AND DISABLED SITES