Housing Help Center Intake Form




Contact Information




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

Input your street address and apartment number(if applicable)




General Information






Location Information


Current Living Situation




Input value without commas

Rent/Mortgage Information

Input value without commas

Input value without commas

Utilities


Input value without commas

Input value without commas

Input value without commas

Input value without commas

Input value without commas

Input value without commas

Income/Documentation



Input income for the full year without commas



Household information







For questions about this form, please contact: 
help.housinghelpcenter@atlantaga.gov