Go To PCHA Home Page
Pierce County Housing Authority
Tacoma, Washington        253.620.5400

 

FSS / Homeownership Application
PCHA SECTION 8 RECIPIENTS ONLY
 

 Housing Information
 

     * denotes required fields

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.

If you prefer to print and mail this form, click here for a (pdf) copy of the Family Self-Sufficiency / Homeownership Application form.
  

 
Page secured by GeoTrust   click for company profile 
ABOUT YOU:

Name*

Home Phone

Work Phone*

Address*

City*

State*

Zip*

Social Security Number*

Email Address*

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 payments, collections, bankruptcies?)

 
Please enter the phrase as it is shown in the box above.  
      
©2017 All Rights Reserved, Pierce County Housing Authority - Tacoma, Washington | 253.620.5400 | Created and Maintained by WSI | Home | Contact Us | Disclaimer | Privacy | Site Map