6b21bRedLine

FORMS

Below are the most commonly used forms. They may be downloaded, completed and faxed to the Housing Department at 360-616-2927 or scanned and emailed to This email address is being protected from spambots. You need JavaScript enabled to view it.. If you have any questions please call 360-479-3694.

Certification of Tip Received and Anticipated
Certification that a household member is permanently absent from the household
Change of Circumstance
Change of Circumstance with release
Change of Circumstance to add family member
Message Form
Definition of Live in Caregiver

Financial Hardship
Request for Reasonable Accommodation
Participant Request for Informal Hearing 




6b21bRedLine

Bremerton Housing Authority
600 Park Avenue
Bremerton, WA  98337

Lobby Hours:
9:00am - 4:00pm Mon-Tue, Thu-Fri
Closed Wednesdays and holidays

 

Main Number: 360-479-3694
Inclement Weather Hotline: 360-616-7199
Telecommunication for hearing impaired TRS dial 7-1-1.
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