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    DE HAP Application

    Uploaded by

    eddy.ortiz8321
    The document is an application for Delaware's housing assistance program. It requests information such as applicant name, address, household members, employment details, housing details, and amount owed for rent or electric. Applicants are to submit the application by email or mail.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    DE HAP Application

    Uploaded by

    eddy.ortiz8321
    12 views1 page
    The document is an application for Delaware's housing assistance program. It requests information such as applicant name, address, household members, employment details, housing details, and amount owed for rent or electric. Applicants are to submit the application by email or mail.

    Original Title

    DE-HAP-Application

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    © © All Rights Reserved

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    The document is an application for Delaware's housing assistance program. It requests information such as applicant name, address, household members, employment details, housing details, and amount owed for rent or electric. Applicants are to submit the application by email or mail.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views1 page

    DE HAP Application

    Uploaded by

    eddy.ortiz8321
    The document is an application for Delaware's housing assistance program. It requests information such as applicant name, address, household members, employment details, housing details, and amount owed for rent or electric. Applicants are to submit the application by email or mail.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Delaware State Housing Authority

    Delaware Housing Assistance Program Application

    Applicant Information

    Name: DOB:

    Address: City, State, ZIP:

    Phone/Type*: Email: SSN:


    *Home, work, mobile
    Household Information

    Please list all members who reside in the household and rely on the same household income.

    Name/DOB: Name/DOB:

    Name/DOB: Name/DOB:

    Name/DOB: Name/DOB:

    Employment Information

    Employer Name:

    Address: City, State, ZIP:

    Supervisor: Phone: Ext:

    Are you currently employed here? Yes No

    Was your employment terminated/suspended as a result of the impact of COVID-19? Yes No

    Has your income/employment been otherwise affected as a result of the impact of COVID-19? Yes No

    Previous Household Income: $ Per: Current Household Income: $ Per:

    Housing Information

    Property Name: Property Owner:

    Address: City, State, ZIP:

    Property Manager: Phone: Ext:

    Total Amount Owed: For: Rent Electric

    Notice to Quit? Yes No Date Filed: Eviction Notice? Yes No Date Filed:

    Please submit this application via email to dehap@destatehousing.com. You may also mail a paper copy to 18 The Green,
    Dover, DE 19901. A representative from Delaware State Housing Authority or one of our community partners will contact
    you with further instructions, and will determine whether or not you are eligible to receive assistance.

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