Belle Glade Housing Authority
1204 NW Avenue L Terrace
Belle Glade, FL 33430
Phone: (561) 996-2140
Fax: (561) 996-9503
TTY: (800) 955-8771
E-Mail: [email protected]
Days: Tuesdays and Thursdays (Appointments Preferred)
Hours: 10:00am to 2:00pm
Fee: $25 per adult
INFORMATION TO INCLUDE WITH COMPLETED APPLICATION
FOR PERSONAL IDENTIFICATION:
1. Social Security cards and birth certificates for each member in the household
2. Photo ID for each adult family member (18 & older)
EMPLOYMENT INFORMATION:
1. Name, address, zip code, phone and fax number of Employer
2. Hourly, weekly or monthly amount earned
VERIFICATION OF OTHER SOURCES OF INCOME:
Veteran’s Pension
Retirement Pension
Alimony
Child Support (last 12 months)
Unemployment Benefits
Workman’s Compensation
Public Assistance (Most recent award letter)
Checking/Savings Interest, Etc. (Last 6 months bank statements)
Social Security & SSI (Most recent award letter)
VERIFICATION OF ALL ASSETS FOR HOUSEHOLD
401K
Stocks
Bonds
Annuities
Whole life insurance policies
VERIFICATION OF EXPENSES
Child Care (Provider information)
Medical Expenses (Pharmacy information)
RESIDENTIAL HISTORY:
Current Landlord, Mortgage Company and\or Past Landlord(s) for the last three years:
Full Name
Contact Person
Street, City, State & Zip Code
Phone Number