Eureka Housing Authority

Part 4 - Declaration of Citizenship

004 Declaration of Citizenship

The Declaration of Citizenship form allows the Housing Authority to verify that all members of a household are in the United States lawfully.

 

Please read, fill out, print the form, and sign and date the Declaration of Citizenship form as indicated for each household member.

Once you are finished with the Declaration of Citizenship form, please print the form and return to this page to continue to

Part 5 - Criminal History information.