Submit Online Orientation Certification

Required fields are marked with asterisks (*)

Submit Online Orientation Certification

Please fill out the form below to acknowledge that you have received and reviewed all of the following documents.

Name

Last 4 of Head of Household SSN

Phone Number

Email Address

Documents*

Applicant Orientation Packet
A Good Place To Live
Are You A Victim of Housing Discrimination
Fair Housing, Equal Opportunity For All
Protect Your Family From Lead in Your Home
NMA's Voucher Family Briefing Video

Please acknowledge the following...

I acknowledge that I have viewed the NMA's Voucher Family Briefing Video.

I acknowledge that all adult household members received, reviewed, & understand the rules & regulations of the Housing Choice Voucher Program as well as Campbell County Department of Housing’s policies & procedures.

Signature Line (all adult household members) = By typing in the name(s) of all adult household members this serves as your signature.

Submission of this form concludes the orientation.

You will receive a contact from CCDH in regards to the eligibility process.

If you have questions regarding the information provided, please contact the office at (859) 261-5200.