EHA Applicant Verification

 Step 1 of 1

The Evansville Housing Authority (EHA) Leased Housing Program is required to verify that applicants and/or tenants are able to obtain water service under their name before they move into any unit. EHA is requesting assistance by completing this form for the Evansville Water & Sewer Utility to verify tenant status. Once this form is filled out a Customer Service Representative will verify the information and send it to the Evansville Housing Authority Case Managers for further review.  

* Denotes a required field
Date*
 Date
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ZIP*
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Second portion of ZIP Code is optional.
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I hearby authorize the release of my water service information to the Evansville Housing Authority.

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