On-line Housing Inquiry Form

Fill in all items and then use button below to submit the form.

For information on how to jump start your application, click here.

Date: Best Time to Call: Referred by: Name: Co-Applicant Mailing Address: City: State: LA Zip: Home Phone: Work Phone: Cell Phone: E-Mail Address: Gross Monthly Income: $ Source: Other Income: $ Source: Current Rent: $ Number of People in Household:  1 2 3 4 5 6+ Do You Own Land? Yes No   If yes, where?  In which parish do you want to live?   Acadia Avoyelles Evangeline Iberia Lafayette Pointe Coupee St. Landry St. Martin St. Mary Vermilion Current Monthly Bills - Do not include rent, insurance, etc. Bill: Amount: $ Bill: Amount: $ Bill: Amount: $ Bill: Amount: $ Bill: Amount: $ Bill: Amount: $ Total Amount of Monthly Bills: $ Additional Comments:     Would You Like to Make an Appointment? Yes No Best Day:

If you have questions, call our Housing Department at 337-367-3039 or toll free at 1-877-532-1470.


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