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Change of Address

Steps

1. Contact Info This section is complete This section is incomplete
2. Old Address This section is complete This section is incomplete
3. New Address This section is complete This section is incomplete
4. E-Signature Page This section is complete This section is incomplete

Contact Info

What Program(s) Does This Change of Address Apply To:*
1. Section 8 (Housing Choice Vouchers)
2. Public Housing (Apt Towers, Carlson Plaza, Pott Court, Hudson Cir, Baehr Place
3. FHI (Flint Hills Place)
First Name*
Head of Household (Only)
Last Name*
Head of Household (Only)
Email Address
Going forward this is MHA's preferred method to connect with you.
Phone Number
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Old Address

Old Address*
*This is the address you are changing from
City*
State*
Zip Code
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New Address

New Address*
City*
State*
Zip Code
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E-Signature Page

Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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