Housing Assistance Inquiry Form

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Attention: Do not complete this form unless you have the following documents readily available. You are required to upload some or all of the following documents before submitting an inquiry form to UESF. Acceptable forms of documentation include: PDFs, scanned documents, photos, or screenshots. File names cannot contain special characters. Inquiries missing documentation will not be processed.

  • Proof of gross income for the past 30 days for all household members over 18 years of age.
  • Copy of your state issued photo ID or passport (include copies for household members over 18 years of age).
  • Copy of your social security card (include copies for household members over 18 years of age).
  • COMPASS benefits statement for the entire household (if received).
  • Copy of your lease.
  • Copy of your DD214 (for veterans)

*Please note this is not an application.                                                                                                                                                                                                                                                            

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Inquiry Information



MM/DD/YYYY












Address and Contact Information









Only Philadelphia county residents are eligible for UESF's utility and rental assistance. UESF can assist PA residents that have PECO service with applying for the PECO (CAP) program.
Housing Status











Household Members



























































Income Information

$

Required Documents

Personal Identification



Income

COMPASS


Additional Household Members