Section 8 Housing Voucher Pre-Screen
Full Name
Date of Birth
Email
Phone Number
Household Size
Total Gross Household Income (Annual)
Current City
Are all household members U.S. citizens or eligible immigrants?
Yes
No
Have you or any household members ever been evicted from federally assisted housing?
Yes
No
Has any household member been convicted of a drug-related or violent crime in the past 5 years?
Yes
No
Comments or Questions