Eureka Housing Authority

Part 5 - Criminal History

005 Criminal History Information

The Housing Authority gathers criminal history information in order to avoid admitting a household member who has been involved in any criminal activity that would adversely affect the health, safety, or welfare of other residents.


Please read, fill out, print out, sign and date the Criminal History Form as indicated.

Once you have completed the Criminal History form print the form and return to this page to continue to

Part 6 - HUD Form 92006.