Income change reporting

Fayetteville Housing Authority participants of housing assistance programs experiencing hardship such as job loss or decrease in income related to COVID-19 (Coronavirus) may request a temporary adjustment to their rent. All information provided is subject to verification.

Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Date of Birth
MM slash DD slash YYYY
Employer's Name
Employer's Address
Street Address Address Line 2 City State ZIP Code
Employer's Phone
Supervisor's Name
First Last
Supervisor's Phone
Date of Employment Loss or reduction in hours
MM slash DD slash YYYY
Please describe the change in employment (Lost job, hours cut, told to stay home, not sure when I will get scheduled, etc.)
Which program are you part of?
Consent*
I understand that anything I submit is subject to verification. False information reported is considered fraud and could lead to termination of rental assistance or eviction and I would be required to repay assistance received incorrectly.

ALL Residents and Voucher Program Clients:

If you have an appointment and do not feel well, please call the office to reschedule.
If FHA staff is scheduled to inspect your home as part of an annual inspection, maintenance or if it is pest control day, and a member of your household has flu-like symptoms, please contact our office so FHA staff can make other arrangements. If you do not have a phone, please post a note on your door.
Please wash your hands often, for 20 seconds, including in between your fingers and under your nails. Also avoid touching your mouth, eyes, or nose.
If you feel you must sneeze or cough, please cover it: use a tissue, cover your mouth and nose, throw away the used tissue. Use your elbow or sleeve if you do not have a tissue.

Fayetteville Housing Authority

Hours of Operation
Monday – Thursday
8:00 AM to 12:00 PM
1:00 PM to 5:30 PM

Address:
#1 North School Ave.
Fayetteville, AR 72701

Phone:
479.521.3850
TDDY: 800.285.1121

Fax:
479.442.6771

Income change reporting

Fayetteville Housing Authority

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