Household Composition Change
| Foreman Office O 870.542.6464 F 870.542.6499 215 N. Madden Street P.O. Box 445 Foreman, AR 71836 |
Ashdown Office O 870.898.2107 F 870.667.7127 251 Federal Street P.O. Box 96 Ashdown, AR 71822 |
Fields marked with * must be completed or form will not submit.
Anyone you list as a household member must use the subsidized unit as their primary residence (at least 51% of the time). All adults must have an acceptable criminal background, cannot owe any housing authority money, and, if s/he previously participated in a federally subsidized housing program, must have an acceptable compliance history. All adult additions must be approved in writing by your landlord and by Little River Housing Communities before the additional person can move in.
Note: The fields at the bottom of this form marked "For Landlord Use Only" and "For LRHC Use Only" should not be completed when submitting this form.
If you only need to list a household member departing the household, please fill the required 'Addition' fields and New Member Information fields below with "N/A"
