Waiting List Application Public Housing 5-09pmd - easterniowaregionalhousing 2026

1. Click ‘Get Form’ to open the Waiting List Application in the editor.
2. Begin by filling out the 'APPLICANT' section. Enter your name, birthdate, address, phone number, and social security number. Be sure to select your race and gender from the provided options.
3. Next, move to the 'OTHERS IN HOUSEHOLD' section. For each household member, input their name, birthdate, age, gender, and social security number as required.
4. In the 'EMPLOYMENT' section, list family members along with their employer’s name, estimated monthly income (gross), address, and phone number.
5. Complete the 'OTHER INCOME RECEIVED' section by indicating any additional income sources such as Social Security or unemployment benefits.
6. Review the program options and select which waiting list you wish to be placed on from the provided locations.
7. Finally, ensure all information is accurate before signing at the bottom of the form. Your signature certifies that all information is complete and truthful.

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