Riverview Re-occupancy Form

Occupancy Request of Riverview Housing

Applicant Name:

Address:

Phone: Email:

Public Housing? Yes No

Project & Apt. # : Unit Size:

Section 8 (HCV)? Yes No

Project & Apt. # : Unit Size:

Enrolled in FSS/CSS Program? Yes No

Date Enrolled:

CONTACT PHONE # :

Present Unit Size:

Original HOPE VI resident? Yes No

If yes, please indicate location: Sherwood/Hiwassee Riverview