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Housing Authority of Rock Hill Public Housing Section 8 Update Form

Rock Hill Housing Authority Logo. 60 Years. 1965-2025. 467 South Wilson Street, Rock Hill, SC 29730
P: 803.324.3060 | F: 803.324.5857
Monday-Friday 8:00 A.M-5:00 P.M.

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dashes)</b>","description":"XX-XX-XXXX","name":"Social-Security-Number","maxlength":11,"className":"col-md-6","subtype":"text"},{"type":"date","label":"<b>DATE OF BIRTH:</b>","name":"DATE-OF-BIRTH","className":"col-md-6"},{"type":"text","label":"<b>NEW NAME CHANGE </b>","name":"NEW-NAME-CHANGE","className":"d-block","subtype":"text"},{"type":"text","label":"<b>OLD ADDRESS</b>","name":"old-address","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"<b>CITY</b>","name":"City-of-residence","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"select","label":"<b>STATE OF RESIDENCE</b>","name":"State-of-residence","className":"col-md-6 col-lg-3","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA"},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"<b>ZIP</b>","name":"Zip-Code","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"<b>NEW ADDRESS:</b>","name":"New-Address","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"<b>NEW CITY</b>","name":"new-city","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"select","label":"<b>NEW STATE</b>","name":"State","className":"col-md-6 col-lg-3","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR","selected":true},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA"},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"<b>NEW ZIP</b>","name":"NEW-ZIP-CODE","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","subtype":"tel","label":"<b>OLD PHONE NUMBER</b>","name":"OLD-PHONE-NUMBER","className":"col-md-6"},{"type":"text","label":"<b>NEW PHONE NUMBER</b>","name":"NEW-PHONE-NUMBER","className":"col-md-6","subtype":"text"},{"type":"text","label":"<b>HEAD OF HOUSEHOLD</b>","name":"Head-of-Household","className":"col-md-6","subtype":"text"},{"type":"text","label":"<b>SPOUSE</b>","name":"Spouse","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"<b>SECTION B - ADD NEW FAMILY MEMBERS</b>","className":"d-block"},{"type":"text","label":"<b>FAMILY MEMBER 1</b>","name":"FAMILY-MEMBER-1","className":"col-lg-4","subtype":"text"},{"type":"text","label":"<b>FAMILY MEMBER 1 SSN #</b>","name":"FAMILY-MEMBER-1-SSN","className":"col-lg-4","subtype":"text"},{"type":"date","label":"<b>FAMILY MEMBER 1 DOB</b>","name":"FAMILY-MEMBER-1-DOB","className":"col-lg-4"},{"type":"text","label":"<b>FAMILY MEMBER 2</b>","name":"FAMILY-MEMBER-2","className":"col-lg-4","subtype":"text"},{"type":"text","label":"<b>FAMILY MEMBER 2 SSN #</b>","name":"FAMILY-MEMBER-2-SSN","className":"col-lg-4","subtype":"text"},{"type":"date","label":"<b>FAMILY MEMBER 2 DOB</b>","name":"FAMILY-MEMBER-2-DOB","className":"col-lg-4"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"<b>SECTION C - REMOVE FAMILY MEMBERS</b>","className":"d-block"},{"type":"text","label":"<b>FAMILY MEMBER 1 NAME</b>","name":"First-member-name","className":"col-lg-4","subtype":"text"},{"type":"text","label":"<b>RELATIONSHIP:</b>","name":"relationship-to-family-member","className":"col-lg-4","subtype":"text"},{"type":"text","label":"<b>FAMILY MEMBER 1 AGE</b>","name":"age-of-family-member","className":"col-lg-4","subtype":"text"},{"type":"text","label":"<b>FAMILY MEMBER 2 NAME</b>","name":"second-member-name","className":"col-lg-4","subtype":"text"},{"type":"text","label":"<b>RELATIONSHIP</b>","name":"relationship-to-second-family-member","className":"col-lg-4","subtype":"text"},{"type":"text","label":"<b>FAMILY MEMBER 2 AGE</b>","name":"age-of-second-family-member-","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"<b>SECTION D - INCOME CHANGE</b>","className":"d-block"},{"type":"text","label":"<b>OLD COMPANY:</b>","name":"OLD-COMPANY","className":"col-md-6","subtype":"text"},{"type":"text","label":"<b>ADDRESS:</b>","name":"old-company-address","className":"col-md-6","subtype":"text"},{"type":"date","label":"<b>END DATE:</b>","name":"END-DATE","className":"col-md-6"},{"type":"text","label":"<b>REASON FOR LEAVING:</b>","name":"REASON-FOR-LEAVING","className":"col-md-6","subtype":"text"},{"type":"text","label":"<b>NEW COMPANY:</b>","name":"NEW-COMPANY","className":"col-md-6","subtype":"text"},{"type":"text","label":"<b>NEW COMPANY ADDRESS:</b>","name":"company-address","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"date","label":"<b>START DATE:</b>","name":"NEW-JOB-START-DATE","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"   ","className":"col-lg-4"},{"type":"text","label":"<b>HOURLY RATE</b>","name":"HOURLY-RATE","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"<b># HOURS WORKED</b>","name":"-HOURS-WORKED","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"<b>WEEKLY GROSS</b>","name":"WEEKLY-GROSS","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"<b>BI-WEEKLY GROSS</b>","name":"BI-WEEKLY-GROSS","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"<b>SUPERVISOR:</b>","name":"SUPERVISOR","className":"col-md-6","subtype":"text"},{"type":"text","label":"<b>TELEPHONE</b>","name":"TELEPHONE","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"text","label":"<b>OTHER INCOME ($ amounts)</b>","name":"OTHER-INCOME--amounts","className":"col-lg-4","subtype":"text"},{"type":"date","label":"<b>STARTING DATE:</b>","name":"OTHER-INCOME-STARTING-DATE","className":"col-lg-4"},{"type":"date","label":"<b>(OR) ENDING DATE</b>","name":"OR-ENDING-DATE","className":"col-lg-4"},{"type":"text","label":"<b>AFDC/ WORK FIRST ($):</b>","name":"AFDCWORK-FIRST","className":"col-lg-4","subtype":"text"},{"type":"text","label":"<b>CHILD SUPPORT ($)</b>","name":"CHILD-SUPPORT","className":"col-lg-4","subtype":"text"},{"type":"text","label":"<b>SOCIAL SECURITY ($)</b>","name":"SOCIAL-SECURITY","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"     ","className":"col-lg-4"},{"type":"text","label":"<b>SSI ($)</b>","name":"SSI","className":"col-lg-4","subtype":"text"},{"type":"text","label":"<b>UNEMPLOYMENT BENEFITS ($)</b>","name":"UNEMPLOYMENT-BENEFITS","className":"col-lg-4","subtype":"text"}]

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