Online Referral Questionnaire

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Email *

The Burlington Housing Authority's (BHA) Housing Retention Team provides rapid intervention for households at-risk of becoming homeless. We focus our services on very-low income vulnerable households in Chittenden County.

Referral is for: *

Housing Retention for Renter

Housing Retention for Homeless Household

Other:

Has this household ever experienced homelessness? *

Yes

Is the household living in one of the following: *

BHA Owned or Managed Property with BHA subsidy (Section 8 Voucher)

BHA Owned or Managed Property without BHA Subsidy (Section 8 Voucher)

Champlain Housing Trust Property with BHA subsidy

Champlain Housing Trust Property without BHA subsidy

Cathedral Square Property with BHA subsidy

Cathedral Square Property without BHA subsidy

COTS Property

Unit with private landlord with BHA subsidy (Section 8 Voucher)

Unit with private landlord without BHA subsidy

Currently Incarcerated

Currently Without Housing

Other:

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