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APPLICATION FOR THE PUBLIC HOUSING PROGRAM

APPLICATION FOR THE PUBLIC HOUSING PROGRAM Please check this box if you are a person with a disability and need helpwith reading or filling out this form. You have the right to ask HABC tomake a reasonable accommodation for you. To make such a request, pleasecall the Admissions and Leasing Center at 410-396-3225 or TTY 410-342-0294 or the Maryland Relay System 711 or 1-800-201-7165. You may also refer to the PublicHousing PROGRAM General Information Guide for a list of organizations that will assist you.

Mixed Population Developments ... Please attach another sheet of paper if you need to add more people. Please provide all requested information for each additional person. Please use the Race / Ethnicity Chart below and choose a corresponding letter for each member of the household. Put that letter in the column marked Race/Ethnicity in the ...

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