English | Español
You are signing up for a waiting list. You will not receive housing assistance immediately. When your name comes to the top of the waiting list, you will be contacted by mail to complete an application to determine final eligibility.
If you already have an active application for this waiting list please DO NOT SIGN UP AGAIN. Submitting a new preliminary application will NOT update the existing application you have on our list, it will create a new record for you. If you need to update the existing application you have with us you must submit a written Waiting List Update form. If you move after submitting a Preliminary Application, it is your responsibility to submit a Waiting List Update Form. If you fail to update your mailing information, and we are unable to contact you by mail, your name will be removed from the waiting list. Please be advised that it is not sufficient to notify the post office. The post office does not forward mail from the Housing Authority. Update Forms are available at the Sonoma County Housing Authority office or on our website at: www.sonoma-county.org/cdc/pdf/housing/waitlist/waitlist_update_en.pdf
The information on this Preliminary Application will determine your placement on the Waiting List. It is very important that you complete the Preliminary Application entirely and that you answer each question correctly. Within 7-10 days after submitting your information on this Preliminary Application, you will receive a letter from the Housing Authority, confirming that your name has been placed on the Waiting List.
Placement on the waiting list is determined by the date and time the questionnaire is received and by any preferences that apply. Documented proof of preferences must be provided once an applicant’s name is reached. For a list of the preferences, click here: http://www.sonoma-county.org/cdc/s8waitlist.htm
Sonoma County Housing Authority Housing Choice Voucher Waiting List
Part 1: Head of Household
Social Security Number:
Date of Birth:
Are you anemancipated minor?
ex. (xxx) xxx-xxxx
Free E-mail Account
Other Phone Type:
Ethnicity (Check one box)
Race (Check all that apply)
Black/ African American
American Indian/ Alaska Native
Native Hawaiian/ Other Pacific Islander
Racial and ethnic data for statistical purposes only.
Do you qualify for a reasonable accommodation due to a disability?
Part 2: Household Information
Legal Address (Where you currently live)
Address Line 1:
Address Line 2:
Mailing Address (If different from Legal)(Where you currently receive mail)
Note: If your legal or mailing address changes, you must notify the Housing Authority in writing to maintain your waiting list status.
List information for adults first, then children under age 18. Use "F" or "M" to indicate sex. If a household member qualifies for a reasonable accommodation due to a disability select "Y", if not, select "N". List relationship of each person to the Head of Household.
Date of Birth
Part 3: 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.
If Income is from WagesList Name and Address of Employer
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
Stocks, Bonds, CDs, Investment
Part 4: Eligibility and Preferences
Your response to the following statement will help determine your eligibility for rental assistance and if you are entitled to a preference when placed on the program's waiting list. Select the appropriate responses for each question below.
Do you live OR work in Sonoma County, OUTSIDE the city limits of Santa Rosa?
Are you living in an emergency shelter or transitional housing program anywhere in Sonoma County?
Are you homeless and receiving services from a homeless supportive agency in Sonoma County who can verify your homeless status?
Are you or the other adult co-applicant disabled?
Does your household include minor children?
Are you or co-applicant 62 years of age or older?
Are you a United States Veteran or a surviving spouse of a United States Veteran?
Do you require a dwelling with accessibility features?
Part 4: Supplemental and Optional Contact Information
Part 5: 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.
Name of Contact Person
Check this box if you choose not to provide the contact information.
Part 5: U.S. Citizenship Notification and Certification
Part 6: U.S. Citizenship Notification and Certification
Head of Household Social Security Number:
Head of Household Date of Birth:
Head of Household E-mail:
Copyright © HAPPY Software, Inc. 2007-2014