Piedmonthousingalliance.orgwp-contentuploadsClient Intake Form - Piedmont Housing Alliance 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Primary Applicant Information' section. Enter your first name, middle initial, last name, and contact details including your phone number and email address.
3. Indicate your preferred method of contact and provide information about the number of people living in your household. Be sure to include any relevant details regarding disabilities or military status.
4. Proceed to the 'Co-Applicant' section if applicable, providing similar information for the co-applicant.
5. Fill out the 'Income' section by listing all sources of income for each household member, including employer names and yearly income before taxes.
6. Complete the 'Liabilities/Debts' and 'Fixed Expenses' sections with accurate financial details to ensure a comprehensive overview of your financial situation.
7. Review all entries for accuracy before submitting. Once completed, submit the form via email or fax as instructed at the end of the document.

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