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Rental Assistance Forms

  • Income Change Report Form
  • Household Composition Change Report Form
  • Portability Request Form
  • Additional Adult in the Household Form
  • Direct Deposit Form for Landlords & Tenants
  • Employer Verification Form
  • Monthly Expenses/Zero Income Form
  • Self-Certification for Criminal Background
  • Declaration of Section 214 Status Form

Exception Rent Areas

  • As of 10/01/2021 Exception Rent Areas encompass 52002 and 52003 Zip Codes ONLY

Utility Allowance Reference Forms 2025

  • Single Family
  • Duplex
  • 4-Plex/Row House
  • Apartment
  • Manufactured Home

Utility Allowance Reference Forms 2026

  • Single Family
  • Duplex
  • 4-Plex/Row House
  • Apartment
  • Manufactured Home
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Contact Us

  1. 50 W 13th Street
    Dubuque, IA 52001

    Phone: 563-589-4100
    Fax: 563-589-0890

    Directory & Hours

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