Contract Rent Increase Request Form

Kansas City, Kansas

Housing Authority

1124 North Ninth Street

Kansas City, KS 66101-2197

(913) 281-3300 FAX (913) 279-3428

Section 8 Dept FAX (913) 279-3477

Section 8 Department

Contract Rent Increase Request Form

Date:

Tenant Name:

Tenant Address:

Current Contract Rent on Unit:

Reasonable Contract Rent Requested:

Please list any additional amenities added or other factors that have occurred since your last rent

change that would justify an increase in your rent.

Owner Name:

Owner Daytime Phone Number:

Owner Signature:

FAILURE TO SUBMIT THIS FORM TO THE SECTION 8 OFFICE 60 DAYS PRIOR TO THE

EXPIRATION OF THE HOUSING ASSISTANCE PAYMENT (HAP) CONTRACT WILL RESULT IN

THE FAILURE TO RECEIVE ANY APPLICABLE CONTRACT RENT INCREASE AT THE TIME OF

RECERTIFICATION.

For Office Use Only

Approved _______________

Disapproved _______________

Negotiated Rent

Form S-370 (01/04)

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Parent category: Legal