Housing – Criminal History Form


Housing - Criminal History

A CRIMINAL HISTORY CHECK WILL BE PERFORMED. A "yes" answer will not necessarily make you ineligible- answer truthfully.

WARNING: Section 1001 of Title 18 of the U.S. Codes make it a criminal offense to make willful false statements of representation of any department or agency of the United States as to any matter within its jurisdiction.

CERTIFICATION: I certify that the information given to Ark-Tex Council of Governments is accurate and complete to the best of my knowledge and belief. I understand that false statements or information are punishable under federal law. I also understand that false statements or information are grounds of ineligibility for the Section 8 Rental Assistance Program.

Sending