Brown county housing choice voucher

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2605 S Oneida St., Suite 106 Green Bay, WI 54304 (920) 498-3737

1 Person

Housing Choice Voucher Program: Application Instructions

Income Limits 2 Person 3 Person 4 Person 5 Person 6 Person 7 Person

8 Person

$23,700 $27,050 $30,450 $33,800 $36,550 $39,250 $41,950 $44,650

The following documents must be received with your Preliminary Application in order for it to be processed; if all documents are not included the application will be returned to you:

1. A signed and completed preliminary application.

2. Proof of Brown County residence- need both items below (MUST BE ATTACHED):

? Current/Valid Drivers License or State ID with current address which matches address on application AND

? TWO (2) of the following documents of your choice (Address on ALL documents MUST match the address you are applying for assistance under, and can not use two of the same documents):

o Lease (signed by all adult parties listing current address and lease terms) o Credit Card Statement ? Current (within last 30 days) o Employment/Check Stubs ? Current (within last 30 days) o Local Bank Records ? Current (within last 30 days) o Utility Bill (gas, electric, water, cable, telephone) MUST be current (within 30 days) o Court Documents for Child Support/Paternity o Rent/Auto Insurance Policy o School Records/Day Care Records o Local College Enrollment Records o Local Physician Records o Social Security Award Letter o Vehicle Registration

3. Verification of legal identity for ALL household members (MUST BE ATTACHED):

? Social Security Card, Alien Registration card, or naturalization papers ? Forward cards are NOT accepted

4. Verification of date of birth for ALL household members (MUST BE ATTACHED):

? Birth certificate, church issued baptismal certificate, hospital birth announcement, permanent resident card, or drivers license/state ID

5. Proof of your preference, if applicable (MUST BE ATTACHED):

A. Displaced due to a natural disaster or government action: Statement from a government agency or service agency such as city officials or The Red Cross

B. Homeless Families with Children: Certification from a local social service agency that is providing case management

Continued on Back

C. Veteran: Copy of form DD 214 or service discharge papers D. Age 62 or Over: Copy of birth certificate, baptismal certificate E. Disability: Copy of ORIGINIAL SS/SSI benefit award letter F. Households with Children under 18 years of age: Copy of birth certificate, baptismal

certificate or hospital announcement

If the previous preferences do not apply to you:

Brown County Residents:

Will be placed on the waiting list as of the date and time the completed application was received. After applicants with the above preferences are assisted, all other Brown County applicants will be pulled from the waiting list.

Not Brown County Residents:

Will not be pulled off the waitlist until all other Brown County applicants have been assisted

Additional Information:

Please note that completed applications that are received will be accepted in date order. You will receive a notification letter when your name is placed on the waiting list.

Phone calls or visits to the agency WILL NOT be returned or accepted to check the status of your application. It will take 4 - 6 weeks to process your application and notification of your status will be sent by mail.

The wait to be assisted may be up to 1 year and is subject to change without notice due to funding sources.

You MUST notify Integrated Community Solutions IN WRITING of any change in address or household members

In order to be placed on the waiting list, all adult household members must pass a criminal background check

ATTENTION!

PLEASE READ THIS IMPORTANT MESSAGE!

THE BROWN COUNTY HOUSING AUTHORITY SECTION 8 HOUSING CHOICE VOUCHER PROGRAM USES A PRIVATE INVESTIGATION SERVICE TO CAREFULLY SCREEN ALL PROGRAM APPLICANTS.

IF YOU HAVE RECENT CRIMINAL HISTORY OF:

? DRUGS ? VIOLENCE ? GANG-RELATED ACTIVITY ? NAME ON SEXUAL OFFENDER REGISTER

...YOUR APPLICATION TO THE PROGRAM WILL BE DENIED. PROVIDING FALSE INFORMATION ON YOUR APPLICATION IS ALSO GROUNDS FOR DENIAL.

NOTE: ALL ENROLLED HOUSEHOLD MEMBERS WILL BE SCREENED

ANNUALLY. UNREPORTED INCOME OR UNREPORTED HOUSEHOLD MEMBERS WILL RESULT IN HOUSING FRAUD CHARGES.

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