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FSS Application

PCHA Section 8 Recipients ONLY

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.

About You

Address*

Household member names and relationship to Head of Household

Your Employment

Pay Type
How often are you paid?

Spouse/Partner Employment

Pay Type
How often are you paid?

Other Employment

Pay Type
How often are you paid?

Additional Information

This field is for validation purposes and should be left unchanged.