Cozad
Housing
Park Plaza
Apartments
East Villa
Apartments
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
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