Apartment Intake Form

Your information

First name *

Last name *

Phone *

Email *

Current address *

Pick your address from the dropdown so it's verified — includes borough & ZIP.

Apartment / Unit # *

I am currently living in a shelter

Your voucher

Voucher type *

Apartment size needed *

Which boroughs would you take an apartment in? (pick all) *

Bronx Brooklyn Manhattan Queens Staten Island

Household

Adults (incl. you)

Children

Monthly income ($) *

Income source *

Move timeline *

Estimated credit score *

Your photo ID

Upload a photo of your ID *

Driver's license, state ID, or passport. Helps verify your application faster.

Second adult (optional)

Another adult is applying with me

Anything else?

Notes (optional)

Your information is kept private and used only to match you with apartments.

Intake form received!