For the Department of Housing and Community Development Website: DHCD
The following forms and documents are available for downloading and printing:
Universal STANDARD Application for State-Aided Public Housing, MRVP and AHVP (Word) Please also see the link entitled "How to Apply for Housing" on the menu to the left.Universal STANDARD Application for State-Aided Public Housing, MRVP and AHVP (Adobe) Please also see the link entitled "How to Apply for Housing" on the menu to the left.
Verifications Needed With Application & Information Release Form - Required for a complete Standard Application
Income/Asset/Tax Match Authorization Form - Required for a complete Standard Application
Fair Information Practices Form & CORI Form - Required for a complete Standard Application
Physician Verification of Handicapped Status Form - Required if you applying for non-elderly, handicapped housing - for a complete Standard Application. You must fill out this authorization and turn it in to our office and we then send it to the designated physician.
Universal EMERGENCY Application for State-Aided Public Housing Please also see the instructions below. Please also see the Housing Search form and the Applicant's Declaration of Residency and Authorization to Release Information form, which can both be found below, and are both required for a complete emergency application.
Emergency Application Instructions - For the Emergency Application
Checklist of Required Verification Document for Priority Status - For the Emergency Application
Applicant's Declaration of Residency and Authorization to Release Information - Required for a complete Emergency Application
Housing Search Form - Required for a complete Emergency Application
State Public Housing Income Limits
Request for Reasonable Accommodations/Modifications
Definition of Programs, Eligibility and Qualifications Requirement, Priorities and Preferences; Income Limits
For Smoking Cessation Assistance - Did you know that smoking is the number one cause of preventable death and disease in Massachusetts? More than 8,000 Massachusetts residents die each year from smoking, and many more face tobacco-related illnesses that cause disability and pain: cancers of the lung, larynx, throat, esophagus and mouth; heart disease and stroke; and emphysema and other respiratory illnesses. These are expensive diseases that incur high medical bills and add personal financial troubles to already stressed and grieving families. But you can quit smoking! Need help?? Call the Help Line! 1-800-QUIT NOW (1-800-784-8669) or visit the Massachusetts Tobacco Cessation and Prevention Program's web site at:http://makesmokinghistory.org/quit-now/
Community Legal Aid- provides free civil legal services to low-income and elderly residents of central and western Massachusetts. They can help with protecting homes, livelihoods, health, and families. Their work is supported by state and federal funding and donations. Their phone number is (413) 584-4034. The web site is: http://www.communitylegal.org/
Mailing address: Community Legal Aid
20 Hampton Ave.
Northampton, MA 01060
The Amherst Survival Center - The Amherst Survival Center is located at 138 Sunderland Rd., North Amherst, MA. Their phone number is 413-549-3968 and their email address is email@example.com. "Since 1976, the Amherst Survival Center has promoted the health and well being of residents of Franklin and Hampshire counties with a wide variety of programs designed to help people meet their basic needs. The ASC provides a welcoming community where families and individuals who are struggling to make ends meet can come for food, clothing, health care and for companionship and relief from isolation. People are here to share their material resources, information, concerns, and frustrations. No one is turned away. The Amherst Survival Center serves close to 6,000 people each year. Our services, all of which are free, include a Food Pantry, Community Meal, Breakfast Bar, Drop-In Health Clinic, Community (free) Store, Food Recovery Network, Fresh Food Distribution, yoga and exercise classes, field trips, live music performances and movie nights, job readiness workshops, job fairs, information & referral, as well as a variety of other support services." For more information please see their website: https://amherstsurvival.org/
For fuel assistance or weatherization services in the Franklin County, Hampshire County and North Quabbin Regions:
377 Main St.
Greenfield , MA 01301
1-800-370-0940 - Toll Free - Hampshire County
Low Income Home Energy Assistance Program (LIHEAP) Cold Relief Heatline: 1-800-632-8175For assistance finding shelter:
322 Main Street
Springfield , MA 01105
(800) 332-9667 Ext 1600