Cozad
Housing
Park Plaza
Apartments
East Villa
Apartments
Initial Application

Cozad Housing Authority Initial Contact Form

Please help us serve your rental needs by providing the following information:


Date:
Name:
Present Address:
City, State, Zip:
Home Phone:
Work Phone:
Approximate Gross
Annual Income:
Number of Persons
In Household:
Size of Unit Desired:
Date Unit Needed:
Do You Have Pets?
If So, What Kind?

Interested In:

Haymaker Haven
Cozad Housing
Park Plaza
Section 8 Voucher
East Villa Court


Would you like a full application mailed? Yes No


Would you like a follow up phone call? Yes No


Additional Information:





Cozad Housing Authority
421 West 9th Street
Cozad, NE 69130
Phone: (308) 784-3661
Fax: (308) 784-3287
TDD: (308) 784-3661, ext. 16
Toll Free: 1-877-978-1100
E-mail: cozhous@cozadtel.net







Cozad Housing Authority, 2006
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