Housing Choice Voucher Self-Certification Form

This form is to self-certify eligibility for the Housing Choice Voucher Program. 

False statements on this form may lead to denial of assistance and/or criminal prosecution.  By submitting this form, you certify that all information provided on this form is true, accurate, and complete to the best of your knowledge.  

If you need to return to this form later, save the link below:


Customer Portal