FSS Application

Tampa Housing Authority
5301 West Cypress Street, Tampa, FL 33607
Phone: 813.341.9101
Fax: 813.367.0799
Office Hours: Monday - Friday - 8:00 AM - 5:00 PM

Please provide as much information as possible. Detailed, complete and accurate information will improve our ability to respond to your application.

Fields marked with * must be completed or form will not submit.

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col-lg-3","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Household Income","className":"d-block"},{"type":"text","label":"Name of Employer","name":"Employer","className":"col-md-6","subtype":"text"},{"type":"date","label":"Employment Start Date","name":"Employment-Start-Date","className":"d-block"},{"type":"text","label":"Wages/Salary","name":"wages-salary","className":"d-block","subtype":"text"},{"type":"text","label":"TANF","name":"TANF","className":"d-block","subtype":"text"},{"type":"text","label":"Child Support","name":"child-support","className":"d-block","subtype":"text"},{"type":"text","label":"Monthly VA Pension","name":"VA-Pension","className":"d-block","subtype":"text"},{"type":"text","label":"Monthly SSI/SS","name":"SSI-SS","className":"d-block","subtype":"text"},{"type":"text","label":"Other Income","name":"Other-Income","className":"d-block","subtype":"text"},{"type":"header","subtype":"h4","label":"Education","className":"d-block"},{"type":"text","label":"Highest Level of Education Achieved","name":"Highest-Level-of-Education-Achieved","className":"d-block","subtype":"text"},{"type":"radio-group","label":"Are you or have you been enrolled in school or any training or vocational program","inline":true,"name":"Enrolled","className":"d-block","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","required":true,"label":"If Yes list course of study","placeholder":"Course of Study","name":"Course-of-Study","subtype":"textarea","className":"d-block"},{"type":"header","subtype":"h4","label":"Additional Information","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"radio-group","label":"Are you currently receiving SSI or 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You may upload up to 20 files (35 Mb max). Files can be PDF, JPG, JPEG format. To upload multiple files, please hold control while clicking on multiple files before clicking \"Open\".","name":"If-you-have-any-supporting-documentation-you-wish-to-attach-to-this-report-please-upload-it-below-Please-select-one-or-more-files-for-upload-You-may-upload-up-to-20-files-35-Mb-max-Files-can-be-PDF-JPG-JPEG-format-To-upload-multiple-files-please-hold-control-while-clicking-on-multiple-files-before-clicking-Open","subtype":"file","multiple":true,"className":"d-block"},{"type":"textarea","label":"Short Description of file attached.","name":"Short-Description-of-file-attached","subtype":"textarea","className":"d-block"}]

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