Application For Assignment To Military Housing Page 2
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2P AGE 2 OF CG- 5267 ( 01-09)
SECTION B - HOUSING AUTHORITY ACTION
1. APPLICATION EFFECTIVE DATE
2. DATE APPLICATION RECEIVED
3. DATE DD-1747 SENT TO APPLICANT
4. WAITING LIST PLACED ON
5. EFFECTIVE DATE
6. APPLICANT NOT PLACED ON WAITING LIST (Reason)
7. APPLICANT ASSIGNED TO (Housing unit )
8. DATE OF ASSIGNMENT
9. BAH TERMINATION EMAIL COMPLETED ON (Date)
INSTRUCTIONS
SECTION A - APPLICATION
ALL BLOCKS ARE SELF EXPLANATORY.
THE APPLICATION MUST BE DATED AND SIGNED BY MEMBER.
SECTION B - HOUSING AUTHORITY ACTION
TO BE COMPLETED BY HOUSING AUTHORITY WHO WILL ACKNOWLEDGE RECEIPT
OF APPLICATION, MAIL DD-1747, AND PLACE MEMBER ON WAITING LIST (if applicable)
OR ADVISE REASONS MEMBER NOT PLACED ON WAITING LIST.
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