Please fill out the application COMPLETELY.
Make sure ALL ADULTS sign where needed.
The Appendix C. form must be filled out for each family member, adults and children.
Section.8 application: Emergency contact form must be filled out by each adult.
Please attach copies of the following documents:
- BIRTH CERTIFICATES FOR EACH FAMILY MEMBER
- SOCIAL SECURITY CARDS FOR EACH FAMILY MEMBER
- PHOTO I.D FOR ALL ADULT FAMILY MEMBERS
- FEDERAL TAX RETURN FOR THE MOST RECENT YEAR (EVEN IF FILED JOINTLY)
- PROOF OF INCOME
- FOR SOCIAL SECURITY/SSI RECEPIENTS: MOST RECENT AWARD LETTER OR CURRENT PRINTOUT FROM THE SOCIAL SECURITY ADMINISTRATION
- FOR EMPLOYMENT: PLEASE PROVIDE LAST 3 MOST CURRENT, CONSECUTIVE PAY STUBS
- FOR UNEMPLOYMENT: PRINTOUT FROM THE UNEMPLOYMENT OFFICE AND 3 MOST RECENT, CONSECUTIVE CHECK STUBS.
- VERIFICATION OF CHILD SUPPORT (IF APPLICABLE)
- MOST CURRENT BANK STATEMENT
- IF YOU HAVE A PET, WE WILL NEED A COPY OF SHOT RECORDS AND SPAY/NEUTER RECORDS
- ADDRESS AND PHONE NUMBER OF CURRENT AND FORMER LANDLORDS
- OUT-OF-POCKET MEDICAL EXPENSES (FOR ELDERLY/DISABLED FAMILIES)
- FOR STUDENTS:
- ENROLLMENT VERIFICATION FROM SCHOOL
- FINANCIAL AID PRINTOUT
- CLASS SCHEDULE
The completed application can be mailed to:
Russellville Housing Authority
115 South Denver Avenue
Russellville, AR 72811
Or emailed to: frontdesk@russellvillehousingauthority.com
Or faxed to: 479-967-5493
Completed applications will be date and time stamped upon receipt and will be put on the waiting list with that date and time.
Incomplete applications will NOT be processed until they are complete, and all information has been provided by applicant.
Please call 479-968-5440 if you have any questions. Thank you!
