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2. City of Dubuque - Housing & Community Development Department
   Please answer the following questions after viewing the Housing Choice Voucher Program's online briefing.
4. Name:*
6. Email Address:
8. Phone Number:
10. You may file discrimination complaints:*

    1. With HUD
    2. With the City of Dubuque Human Rights Department
    3. With HUD & the City of Dubuque Human Rights Department
    4. None of the above
12. Family responsibilities include:*

    1. Providing true & complete information
    2. Taking care of the rental unit
    3. Complying with the terms of the lease, your family obligations & the Tenant Certification policies
    4. All of the above
14. Landlords can ask the Housing Authority for all of the following information except:*

    1. Who is authorized to be in the household
    2. Source and amount of income
    3. Current & previous addresses listed in your file
    4. Tenancy history (if documented)
16. Family changes that must be reported to your caseworker in writing are:*

    1. Birth, adoption, or court awarded custody of a child
    2. Any family member's absence from the unit for more than 2 weeks
    3. Changes of income
    4. All of the above
18. It is ok for others that don't live with you to use your address.*

    1. True
    2. False
20. The unit you receive assistance to pay for must be your only residence.*

    1. True
    2. False
22. You do not need to notify your caseworker when you plan to move.*

    1. True
    2. False
Leave This Blank:


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

    This field is not part of the form submission.

26. Submit

* indicates a required field