Complete the application packet for processing. You do not have to see anyone to apply for rental assistance. NWRHA manages assisted housing and administers rental assistance programs in Alleghany, Ashe, Avery, Mitchell, Watauga, Wilkes, and Yancey Counties. You may only apply in one of the seven counties we serve. Eligibility for these programs varies and is based on income, household composition, and criminal background check.

Because of limited funding, our program has a waiting list in all counties. The length of the waiting list and the time before assistance can be provided will vary depending on your current situation. Completing the attached sheets and answering all questions will determine your placement on the waiting list.

The application process:

  1. This Preliminary Application is used to determine initial program eligibility and to place your name on the waiting list.
  2. When your name comes up on the waiting list, you will be asked to complete a Final Application, which provides our office with updated and accurate information. This information is used to determine final program eligibility. When you complete the final application, you will also be required to verify your citizenship status, provide birth certificates (a state issued document), and social security cards for all household members, and verify your family's gross annual income.

Please see below for important instructions on how to complete the application and other important information to prevent delays in the acceptance of your application.

Fair Housing Act: A federal law which prohibits discrimination in housing based on race, color, religion, sex, handicap, familial status and national origin.

Should you have any questions, please call or write.

INSTRUCTIONS: Please review the application carefully and answer all questions fully and accurately. If you cannot fit all of the information in the space provided, include it in the text area at the bottom. False statements or information are grounds for denial of the application or termination of assistance.

  1. You can only apply in one of our seven counties: Alleghany, Ashe, Avery, Mitchell, Watauga, Wilkes, and Yancey.
  2. You must complete the HUD-9886 Authorization for the Release of Information/Privacy Act Notice and HUD-52675 Form-Debts Owed to Public Housing Agencies and Terminations. All members 18 and over must sign a separate form. Contact the office for additional forms.
  3. Optional: You have the right to include as part of your application the name, address, telephone number and other relevant information of a family member, friend, or social, health, advocacy or other organization for the Housing Authority to contact to help resolve issues that may arise during tenancy or to assist in providing special care of service you may require as a tenant. See SUPPLEMENT TO APPLICATION FOR FEDERALLY ASSISTED HOUSING form.


  • Illegible Applications: If NWRHA cannot read your application it will be returned to you to be completed again legibly.
  • Incomplete Applications: The application will be returned to you with the areas marked for additional information. Your application will be considered only when all required information is provided.
  • Over-Income: The programs administered by NWRHA have varying income requirements. You will be considered over-income if your household income is greater than the program requirements and therefore ineligible for further consideration. You may reapply if your income falls below the eligibility limit.
  • Money Owed: If you have an outstanding debt with NWRHA, another housing authority, or any private landlord as a result of prior participation in any federal housing program, your application will be denied until we have documentation that it is paid in full or a repayment agreement has been signed.
  • Custody of Dependents: If you are including a dependent as part of your household who is a member of another household assisted by NWRHA, you are required to provide documentation showing you are the custodial parent/guardian at least 51% of the time. Acceptable documents are court custody orders, or a notarized statement from the guardian.
  • Pre-applications may be removed from the waiting list if any of the following are determined; Drug or violent criminal activity within the last five years, registered sex offender, persons convicted of manufacturing or producing methamphetamine, if any member has been evicted/terminated from a federally assisted housing program. It is the responsibility of the applicant to contact the housing authority office in writing to report any changes in address, family composition, change of income, or any other change that may affect their status.
  • Applicants will receive a letter within 15 business days after NWRHA receives and processes the application confirming your placement on the waiting list or a denial letter of ineligibility.

Anyone who knowingly commits fraud by providing false statements or information with the intent to deceive in order to receive or continue to receive assistance under one of the programs administered by NWRHA will be subject to denial of his/her application or the termination of assistance. NWRHA is required by federal law to investigate all allegations of fraud. NWRHA is also required to report instances of fraud to state and federal authorities for further investigation and possible prosecution. Incomplete applications will be held for 30 days before destroying.

Present Mailing Address
Street Address
Household Members
Head of Household

Each additional household member requires a date of birth and social security number.

If yes, which?
Homeless Preference: Are you currently staying in (check all that apply):
Substandard Unit: Does the unit you current live in (check all that apply):
Rent Burden
Select the utilities you pay out of pocket:
Domestic Violence (check all that apply)
Involuntarily Displaced: Have you had to leave the unit you were recently living in due to (check all that apply):