Department Of Housing Section 8 Waiting List Open printable pdf download

PUBLIC NOTICE – RENT SUBSIDY WAITING LISTS OPEN

The State of Connecticut Department of Housing, with contractor J .

D’Amelia & Associates, announces the opening of the Section 8 Housing Choice

Voucher Program (HCV) and State Rental Assistance Program (RAP) waiting lists

statewide on August 4, 2014.

Pre-applications will be accepted from single-

member households, families, the elderly and people with disabilities. Applicants

must be 18 years of age or older to apply, or an emancipated minor. The programs

offer rent subsidies to eligible households.

Filling out the pre-application form will put a household in a lottery for

possible inclusion on the waiting lists for both programs. The computer lottery

system will be used to randomly select 5,000 pre-applications for the Section 8

HCV Program and 3,000 pre-applications for the RAP waiting lists from pre-

applications received during the application period.

Pre-applications for the waiting list lottery must be mailed to Section

8/RAP, P.O. Box 16, Cheshire CT 06410 or completed online through a link on

the Department of Housing website CT.gov/DOH.

Only pre-applications

postmarked August 4, 2014 through August 18, 2014 will be accepted. Online

pre-applications must be completed by August 18, 2014 by 5:00 p.m. Only one

pre-application form per household will be accepted. Only pre-applications that are

completed and legible will be accepted. All applicants will be notified whether

they are selected or not.

Applicants with disbailities who require assistance may dial 2-1-1-

InfoLine. Deaf and hearing-impaired individuals may contact the department via

TDD/TTY at 1-800-671-0737.

PRE-APPLICATION FORM

1. HEAD OF HOUSEHOLD INFORMATION

Last Name _____________________First Name ________________ Middle I ____

Social Security Number ____________________ Date of Birth ________________

Mailing Address _____________________________________________________

___________________________________________________________________

(City)

(State)

(Zip Code)

Telephone Number (

) ____ - ______

2. HOW MANY PEOPLE WILL LIVE IN THE UNIT? Include yourself. _____

3. FOR HUD STATISTICAL PURPOSES (answer both (a) and (b))

(a) Please identify your race by checking one box below:

White

Asian

Black/African American

American Indian/Alaska Native

Native Hawaiian/Other Pacific Islander

(b) Please identify your ethnicity by checking one box below:

Hispanic or Latino

not Hispanic or Latino

Yes

No

DISABILITY?

4. TOTAL ANNUAL GROSS FAMILY INCOME $_______________

5. I CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE AND

COMPLETE.

I understand that submission of false information or

misrepresentation may result in loss of eligibility to participate in the housing

subsidy programs.

Date __________ Signature of Head of Household __________________________

DOH is an affirmative action/equal opportunity employer, providing programs and services in a fair and

impartial manner. It is the policy of DOH to comply fully with all federal, state, and local

nondiscrimination laws. In conformance with the Americans with Disabilities Act, DOH makes every

effort to provide equally effective services for persons with disabilities.

Department Of Housing Section 8 Waiting List Open

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