PCHA Washington - Housing and Rental Assistance

		Pierce County Housing Authority Tacoma, Washington (253) 620-5400
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FSS / Homeownership Application
PCHA SECTION 8 RECIPIENTS ONLY

Housing Information

Please fill out the form completely. The FSS Staff at PCHA will contact you by mail when FSS and Homeownership classes are to begin. Enter "N/A" if the field is required and you do not have a value to enter. Please read our DISCLAIMER related to the terms and use of PCHA's web enabled e-forms.

* denotes required fields

ABOUT YOU:
*Name:
*Home Phone:
*Work Phone:
*Address:
*City:
*State:
*Zip:
*Social Security Number:
*E-Mail:
Household Members Names and Relationship to Head of Household:








YOUR EMPLOYMENT:
Current Employer:
Hours:
Pay:	Hourly Salary
How often are you paid:	Weekly Twice Monthly Monthly
SPOUSE EMPLOYMENT:
Current Employer:
Hours:
Pay:	Hourly Salary
How often are you paid:	Weekly Twice Monthly Monthly
OTHER EMPLOYMENT:
Current Employer:
Hours:
Pay:	Hourly Salary
How often are you paid:	Weekly Twice Monthly Monthly
ADDITIONAL INFORMATION:
Career Goals:
Educational Goals:
What might improve your income in the next 5 years?
How is your credit? (Any late pays, collections, bankruptcies?)