Housing Help Center Intake Form

Our navigators are still working on your case and will be in touch. Please reach out to HousingHelpCenter@AtlantaGA.gov if you need additional assistance.

Contact Information

Last Name

First Name

Phone number

Email address

If you do not have an email address, please input yourname@noemail.com

Home address

Input your street address and apartment number(if applicable)

City

State

Zip Code

How would you like us to contact you?

What date did you move into your address? (month & year)

Is your lease/mortgage in any way associated with Atlanta Housing Authority or HUD? (Housing Choice, Section 8, subsidized program)

YesNo

What is your monthly rent/mortgage payment?

Input value without commas

Is your name on the lease or mortgage from a landlord or professional property management company?

YesNo

Thank you for filling out this form. Please press Submit when you are ready