Housing Authorities of the Cities of Fairmont & Morgantown Preliminary Application for
Section 8 and Housing Authority Developments

This is a secure site.  All information is confidential.
* Required Fields

Please indicate which program(s) you are applying for:

Fairmont Housing Authority Apartments
Section 8 Rental Assistance

CURRENT ADDRESS

Enter Your
Present Address

Landlord's Name

Date of Occupancy

Enter Your
Mailing Address

Home Phone:

Work Phone:

If you are currently renting or have rented
in the past, please complete.

01
Previous Address:
Previous City: 
Landlord Name:
Date Occupancy Started: 
02
Previous Address:
Previous City: 
Landlord Name:
Date Occupancy Started: 
03 Previous Address:
Previous City: 
Landlord Name:
Date Occupancy Started: 
04 Previous Address:
Previous City: 
Landlord Name:
Date Occupancy Started: 
05
Previous Address:
Previous City: 
Landlord Name:
Date Occupancy Started: 

Name and telephone number of two (2)
personal references.  NOT FAMILY.

Name:
Telephone #:
Name:
Telephone #:

Marital Status*

HOUSEHOLD INFORMATION
Please include all persons that will live
in your household, start with yourself.

01

Name:

Sex:
M F

Relationship to Head of Household:
Monthly income
Birthdate: Source of Income

SS#: 

02

Name:

Sex:
M F

Relationship to Head of Household:
Monthly income
Birthdate: Source of Income

SS#: 

03

Name:

Sex:
M F

Relationship to Head of Household:

Monthly income
Birthdate: Source of Income
SS#: 

04

Name:

Sex:
M F

Relationship to Head of Household:

Monthly income
Birthdate: Source of Income
SS#: 

05

Name:

Sex:
M F

Relationship to Head of Household:

Monthly income
Birthdate: Source of Income
SS#: 

06

Name:

Sex:
M F

Relationship to Head of Household:

Monthly income
Birthdate: Source of Income
SS#: 

07

Name:

Sex:
M F

Relationship to Head of Household:

Monthly income
Birthdate: Source of Income
SS#:

08

Name:

Sex:
M F

Relationship to Head of Household:

Monthly income
Birthday: Source of Income
SS#: 

09

Name:

Sex:
M F

Relationship to Head of Household:

Monthly income
Birthdate: Source of Income
SS#: 

10

Name:

Sex:
M F

Relationship to Head of Household:
Monthly income
Birthdate: Source of Income
SS#: 

List all maiden or previously used names by
Head or Spouse:

Please list your assets.

Checking Account(s)
Yes No
Savings
Account(s)
Yes No
Life Insurance Policies
Yes No
Stocks

Yes No
Bonds
Yes No
School Grants
Yes No
Certificates of Deposit
Yes No

Is any member of your household currently employed?
 
Yes No

Have you ever owned any Real Estate?
Yes No
If so, when and where?

General Information

Have you ever applied for a rental assistance program?  
Yes No

Have you ever participated in a rental assistance program?
Yes No
If yes, when and where?

Have you or any family member ever been arrested
or convicted of a crime? 
Yes No
If yes, when and where?

Have you ever engaged in felonious use/possession
or manufacture of illegal drugs?  Yes No
** NOTE:  A criminal background check may be done to confirm your answer.**

Do you owe any money to a Public Housing Authority?
Yes No
or Section 8 Program? 
Yes No
or Public Housing Program?  Yes No

Are there now, or will there be any children in your household
under the age of 6 years with an EIBL
(Environmental Intervention Blood Level)?  
Yes No

Do you have special housing needs
because of a disability?
 

Yes No

We certify that the information given to the Housing Authority of the City of Fairmont/Morgantown on household composition, income, net family assets, and allowances and deductions is accurate and complete to the best of my/our knowledge and belief.  I/We understand that false statements or information are grounds for termination of housing assistance and termination of tenancy. *   Yes No

Head of Household 
(by entering your name, you are providing a digital signature)*: 
  

Date:  
(Preliminary applications received for Section 8 after the 26th of the
month will be placed on the following months waiting list.)

Warning:  Section 1001 of Title 18 of the US Code makes it a criminal offense to make willful false statements of misrepresentation to any department or agency of the US as to any matter within its jurisdiction.

  

Contact the Fairmont/Morgantown Housing Authority to find out what we can do for you!

Fairmont Housing Authority
103 12th Street - P.O. Box 2738
Fairmont, WV 26555-2738
Phone: 304-363-0860    Fax: 304-366-0469
Get Directions

Morgantown Housing Authority
278 B Spruce Street
Morgantown, WV 26505
Phone: 1-304-296-2948
Get Directions


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