Section-8 Application Update Form

If you have submitted an application for Section 8/Housing Choice Voucher Program and your household information has changed (address, phone number, household members, or income for example), please fill out and submit this form to notify us of your changes and to keep your application information current.

*If you are on both waiting lists, you will need to fill out an update form for each list

1
General Information
2
Applicant Information
3
Landlord Information
4
Household Information
5
Income Information
6
Signature

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General Information

Please select the list you have applied for

Please check the change(s) you are reporting

IncomeAddressHousehold Member

Applicant Information

First Name

Last Name

Phone

Social Security Number

Current Address
Unit Number (Optional)

City

State

Zip Code

Co-Applicant Information (must be 18 years or older)

First Name

Last Name

Phone

Social Security Number

20%

Current Landlord (or Name of person you are currently living with)

First Name

Last Name

Phone

Street Address
Unit Number(Optional)

City

State

Zip Code

Why are you moving from your current address?

40%

Have you added or removed anyone in your household since you applied?

Add/Remove Household Member

Add/Remove

First Name

Last Name

DOB

Social Security Number

Gender

Relation to Applicant

Race

Add/Remove

First Name

Last Name

DOB

Social Security Number

Gender

Relation to Applicant

Race

60%

Has the income changed for anyone in the household?

First Name

Last Name

Start Date

Income Type

Gross(Before Tax) Amount

Frequency

Hourly Rate

Number of Hours per Week

If Working, List Employer Information

Employer Name

EmployerAddress
Unit Number(Optional)

City

State

Zip Code

Employer Phone

Has the income changed for anyone in the household?

First Name

Last Name

Start Date

Income Type

Gross(Before Tax) Amount

Frequency

Hourly Rate

Number of Hours per Week

If Working, List Employer Information

Employer Name

EmployerAddress
Unit Number(Optional)

City

State

Zip Code

Employer Phone

80%

Applicant Signature

Co-Applicant Signature

WARNING: Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful false statements or misrepresentations to any Department or Agency of the United States as to any matter within its jurisdiction. Your position on the waiting list may change depending on the updates of your application.

By checking this box you are affirming that the information provided is true and correct and you are proving consent to the Lycoming County Housing Authority to verify the information.

100%