Housing Choice Voucher Application Form
This document is the Housing Choice Voucher Application Form for the Housing Authority of Lackawanna County. It outlines the application process, requirements, and necessary information for interested applicants. Ensure you follow the provided instructions carefully to complete your application successfully.
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How do I fill this out?
To fill out the Housing Choice Voucher Application Form, start by gathering all necessary information about your household. Complete each section carefully, ensuring all members aged 18 and older sign the form. After filling it out, make sure to review for completeness before submission.

How to fill out the Housing Choice Voucher Application Form?
1
Gather necessary household information.
2
Complete all sections of the form.
3
Sign where required by all adult members.
4
Double-check for any blank fields or missing signatures.
5
Mail the completed form to the specified address.
Who needs the Housing Choice Voucher Application Form?
1
Individuals seeking housing assistance through the Housing Choice Voucher Program.
2
Families with low income needing financial support for housing.
3
Elderly individuals requiring affordable housing options.
4
Disabled persons looking for accessible living accommodations.
5
Veterans in need of housing support.
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You can sign the PDF using PrintFriendly's easy signing feature. Simply add your signature in the designated area to authorize your application. Ensure all adult members of the household sign where required before submitting the form.

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What are the instructions for submitting this form?
To submit your completed Housing Choice Voucher Application Form, ensure all sections are filled out accurately. Mail the application to the Housing Authority of the County of Lackawanna, Housing Choice Voucher Program, at the address: 2019 W. Pine Street, Dunmore, PA 18512. For any questions or clarifications, contact the agency directly via phone or email as provided in the form.
What are the important dates for this form in 2024 and 2025?
Important dates for the Housing Choice Voucher Program applications will typically be specified annually. Keep an eye on any announcements or updates from the Housing Authority for the 2024 and 2025 application periods.

What is the purpose of this form?
The purpose of the Housing Choice Voucher Application Form is to provide a structured means for individuals to apply for housing assistance programs. Through this form, prospective applicants can demonstrate their eligibility, detailing household composition and income. Proper completion is critical for ensuring access to affordable housing opportunities offered by the Housing Authority of Lackawanna County.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant Name: The name of the head of household applying.
- 2. Home Address: The current residential address of the applicant.
- 3. Primary Phone Number: Contact phone number for the applicant.
- 4. Email: Email address for electronic communication.
- 5. Household Members: Names and details of all individuals living in the household.
- 6. Income Information: Details of household income from all members.
- 7. Criminal Record: Inquiry regarding any past convictions.
- 8. Signature: Space for adult members to sign and date.
What happens if I fail to submit this form?
Failing to submit the form correctly may result in rejection or a delay in receiving housing assistance. It is crucial to provide accurate and complete information as required.
- Missing Information: Applications with left blank fields cannot be processed.
- Lack of Signatures: Unsigned applications will be deemed incomplete and not accepted.
- Inaccurate Details: Providing false information may lead to legal consequences.
How do I know when to use this form?

- 1. Applying for Housing Assistance: Individuals seeking financial support for housing costs.
- 2. Demonstrating Eligibility: Used by applicants to establish eligibility for assistance.
- 3. Updating Household Information: Current participants may use this form to update their household details.
Frequently Asked Questions
How do I fill out the application form?
Begin by gathering the necessary information for all household members before completing the form.
What happens if I submit an incomplete form?
Submitting an incomplete form may lead to denial or delay in processing your application.
How can I edit the application before submitting?
You can use PrintFriendly to edit the PDF and make changes easily.
Do I need to provide signatures?
Yes, all household members over 18 must sign the application.
Where do I send my completed application?
Submit your completed form by mailing it to the address specified on the form.
Can I apply if I live in Scranton or Carbondale?
No, this application is not applicable for residents of Scranton or Carbondale.
How will I know if my application was received?
You will receive an acknowledgment of receipt via mail after your application is processed.
Are there any fees to apply?
No, there are no fees associated with submitting the Housing Choice Voucher Application.
What if I have questions while filling out the form?
You can contact the Housing Authority for assistance with the application.
Is there a deadline for submitting this form?
Ensure you check the form for any specific deadlines related to submissions.
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