Waiting List Change Form

Warren Metropolitan Housing Authority

Waiting List Change Formwarren metro ha final 72

This form must be completed and returned if any changes occur while your name is on the waiting list. Changes may affect your placement on the waiting list.

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Is this an address change?
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Which waiting list are you currently on?
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List ALL person's that will be living in the household:

 

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Sex
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Hispanic
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Hispanic
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Sex
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Hispanic
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Sex
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Hispanic
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Sex
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Hispanic
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Sex
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Hispanic
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Preferences that CURRENTLY apply to you:

 

Are you or your spouse currently a member of the U.S. Armed Forces, an honorable discharged veteran or widow of such?
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Do you live or work in Warren County?
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Have you ever been assisted by the WMHA Transitions program or any transitional housing program?
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Are you or your spouse been employed at least 6 months, with less than 2 weeks between employment?
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Are you 62 or older?
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Are you disabled AND receiving compensation for the disability?
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Are you a household with a non-elderly person with disabilities transitioning out of institutional or other segregated settings, at serious risk of institutionalization, homeless, or at risk of becoming homeless?
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Acknowledgement
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