Tenants and Residents Request to Add a Household Member

Phone: 954-989-4691
Fax: 954-961-8010
HollywoodHousingAuthority.com

Anyone you list as a household member must use the subsidized unit as their primary residence (at least 51% of the time). All adults must have an acceptable criminal background, cannot owe any housing authority money, and, if s/he previously participated in a federally subsidized housing program, must have acceptable compliance history. All adult additions must be approved in writing by your landlord and by Hollywood Housing before the additional person can move in.

Note: The fields at the bottom of this form marked "For Landlord Use Only" and "For HHA Use Only" should not be completed when submitting this form.