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Preliminary Application

Clear Application Data


Dear Applicant: The Tulsa Housing Authority provides rental assistance through our Public Housing and Section 8 Voucher Program. The approximate waiting period for our Public Housing program is 6 to 12 months and the approximate waiting period for Section 8 Voucher assistance is 12 to 36 months. Please apply based on your housing needs. You may visit our website at www.tulsahousing.org for additional program information.

By submitting this application you authorize THA to complete a criminal background check and verify information on past and current accounts from local and electric and gas utility companies.

This application must be submitted electronically using this system to create a receipt of application.

If you are interested in applying for the Public Housing Waiting List, please visit:
https://www.waitlistcheck.com/OK073-PH

Waiting List:

Voucher Program

Head of Household


Applicant

First Name:

Middle Initial:

Last Name:

Social Security Number:

 ex. xxx-xx-xxxx

Date of Birth:

 ex. mm/dd/yyyy

Sex:

Female

Male

Disabled :

Yes

No

Home Number:

ex. (xxx) xxx-xxxx

Mobile Number:

ex. (xxx) xxx-xxxx

Other Phone/E-mail:

 

Other Phone Type:

I agree to receive future E-mail notifications from the Housing Authority. You will still receive your confirmation E-mail if this box is unchecked.


Ethnicity / Race / Citizenship

Select at least one from Race and Ethnicity





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Eligible Citizen
The family member is an eligible U.S. citizen or national.

Eligible Non-Citizen
The family member has an alien registration number verified by the USCIS.

Ineligible Non-Citizen
The family member fits one or more of the following descriptions.:
  • The person is unable to verify registration at USCIS,
  • The person has not yet provided documentation of eligible status, or
  • The person elected not to contest eligibility status.

Pending Verification
The family member has an alien registration that is pending verification by the USCIS. If you do not know an individual's citizenship, choose Pending verification.

Leave blank if the household member is a live-in aide or foster child/adult.

Racial and ethnic data for statistical purposes only.

Household Information

Legal Address 
(Where you currently live)

Address Line 1:

Address Line 2:

City:

State:

ZIP Code:

-

Mailing Address (If different from Legal)
(Where you currently receive mail)

Address Line 1:

Address Line 2:

City:

State:

ZIP Code:

-

Household Members

List information for adults first, then children under age 18. Use "F" or "M" to indicate sex. List relationship of each person to the Head of Household.


Full Name


Personal


Disabled


Relationship


Ethnicity / Race / Citizenship

Head
Middle Initial

Select at least one from Race and Ethnicity





Middle Initial

Select at least one from Race and Ethnicity





Middle Initial

Select at least one from Race and Ethnicity






Family Income and Assets

List total gross income (before taxes) and payments received by each family member age 18 or older for wages, military pay, pensions, social security, SSI, welfare, child support, unemployment, business, profession, or any other source. Include payments made to family members age 18 or older on behalf of other family members under age 18.

At least one source of income must be specified. If you do not have any income, select the Head of Household from the "First Name" dropdown, enter 0 for "Gross Income", and select "Yearly" for "How Often".

First Name

   Gross Income

How Often

Annual

Name and Address for the Source of Income

$0

  

$0

  

$0

  

$0

  

$0

  

$0

  
$0

List total cash value and total income received for assets owned by all family members.

Type of Asset

Cash Value of Asset

Annual Income Received from Asset

Checking Accounts

Savings Accounts

Stocks, Bonds, CDs, Investment

Real Estate

Other

Supplemental and Optional Contact Information

You have the right to include as part of your application contact information for a person or organization that may be able to help you resolve any issues that may arise during your tenancy or to assist in providing any special care or services you may require should you become a tenant. You are not required to provide this contact information, but if you choose to do so, please click the "Add Contact" button below to complete the form.




Check this box if you choose not to provide the contact information.

Certification

Housing may be contingent upon the submission and verification of evidence of citizenship or eligible immigration status prior to the time housing is made available. Based on the evidence submitted at that time, assistance may be prorated, denied or terminated following appeals and informal hearing processes.

Use the fields below to confirm the information entered in the Head of Household section.

Head of Household Social Security Number:

ex. xxx-xx-xxxx

Head of Household Date of Birth:

 ex. mm/dd/yyyy


By submitting this form, I certify that the information provided is true and complete to the best of my knowledge and belief. Warning! Title 18, Section 1001 of the U.S. Code states that a person is guilty of a felony for knowingly making false statements or misrepresentation to any department or agency of the United States.

Equal Housing
Opportunity

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