Upland Housing Authority
Serving the Community of Upland Since 1943

 

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This website was updated on:
August 11, 2016

 

Applicant Change of Contact and Other Information

This is not an application for Section 8 or Public Housing.

This form is for persons that are on the Upland Housing Authority's (UHA's) Section 8 or Public Housing program waiting list. If you are not active on UHA's waiting list for the Section 8 or Public Housing program, UHA will not process the information you submit using this form.  Go to www.waitlistcheck.com to find out if you are active on UHA's waiting list.

If you are on Upland Housing Authority's Public Housing or Section 8 waiting list and your contact or other information on your pre-application has changed, you can update it here.

Please allow a minimum of 30 days for UHA to process the update.  UHA cannot provide a receipt for your change of contact information.

PLEASE NOTE: UHA cannot respond to requests for waiting list status or tell you your position on the waiting list.  To check the status of your application, go to www.waitlistcheck.com.

Please complete all questions to ensure the Upland Housing Authority has the most current pre-application information for your household.

Enter Your Contact Information:
 

  Your First Name  
  Your Last Name  
 


What is your mailing address?

  Street Address  
  Apartment Number  
  City  
  State  
  Zip Code  
  Is this a new address?  Yes


What is your current phone number?

  Home Phone  
  Is this a new phone number?  Yes
  Cell Phone  
  Is this a new phone number?  Yes
  Work Phone  
  Is this a new phone number?  Yes


What is your current size of your household?

  Number of
Adults (18 years old and over)
 
  Number of Minors (under 18 years old)  


What is your total annual household income?  This is the total annual income from all sources for all household members.

  Total annual household income.           $   


Do you live or work in Upland, California?  Please answer Yes or No.

  Is your permanent residence in the City of Upland?  Yes          No
  Are you or your spouse employed in the City of Upland?  Yes          No


Are you a Veteran who served in the active military, naval, or air service, OR are you a surviving spouse of a Veteran?  Skip if answer is No.

  Are you a Veteran or surviving spouse of a Veteran?  Yes


What is your current e-mail address?

 

E-mail Address

 
  Is this a new e-mail?  Yes

 

Please allow a minimum of 30 days for UHA to process the update.  If you are not active on UHA's waiting list UHA will not process the information you submit using this form.

UHA cannot provide a receipt for your change of contact information.

PLEASE NOTE: UHA cannot respond to requests for waiting list status or tell you your position on the waiting list.  To check the status of your application, go to www.waitlistcheck.com.

By clicking submit, I hereby certify under penalty of perjury that the information I have provided on this form is true, correct, and complete.  I understand that the Upland Housing Authority may verify the information provided herein.  I understand that any false or incomplete statements are cause for denial or termination of assistance under the Public Housing program.

Updated April 1, 2015

 

Housing Authority of the City of Upland, California

1200 N. Campus Avenue, Upland, California  91786
(909) 982-2649 Telephone    |    (909) 982-0237 Facsimile