Tenant-Based Rental Assistance Program

Low-Income Housing Application

Dear Applicant,

The Northern Ponca Housing Authority (NPHA) Tenant-Based Rental Assistance Program (TBRAP) is designed to assist tribal members, who do not live in an NPHA unit in paying their monthly rental payment.

To qualify for Tenant Based Rental Assistance, an application must be submitted to NPHA. To ensure that your application is processed in a timely manner, be sure to submit all requested documentation along with the completed application. NPHA will attempt to contact applicants one time only for remaining information, missing information/documentation not received within 30 days of NPHA’s request will result in the application being rejected.

Checklist for a completed NPHA Low Rent Housing Application:

Completed NPHA Tenant Based Rental Assistance Application Form

Copy of Current Lease Agreement (signed by landlord/lease

Social Security Cards: Provide copies of Social Security Cards for all household members.

Legal guardianship documents for all dependents (I.E. birth certificates, legal power of attorney, court documents, etc.).

Tribal enrollment: Provide copies of tribal enrollment for all Native American members on the composition (the head of household must be an enrolled Native American with a federally recognized tribe of The United States).

Income Verification: Provide proof of income of all household members, 18 years or older (one month of current pay stubs, benefit letter, etc.), NPHA will not accept bank statements.

The Release of Information Authorization must be completed and signed by all members of the household who are 18 years or older.

Completed applications may be mailed, faxed, e-mailed or delivered in person to the NPHA office located at 1501 West Michigan Avenue, Norfolk, NE 68701; Fax Number: (402)379-8557; E-Mail Address: NPHA@Poncahousing.org

Once Your Application is Complete...

Once you have completed your application, please complete the Release of Information Authorization for the Head of Household and any additional adult noted in the Application.

Release of Information Authorization

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