Homeless Assistance

10. Client Health & Safety Evaluation Form – For Auditor (required)

 (Rev. 7/2019)

11. Refusal for Services Indemnification Waiver of Claims (Required if applicable)

 (Rev. 7/2019)

11/30/2021-Hotels to Housing Roundtable/SLFRF NOFA PowerPoint Presentation

11/30/2021-Hotels to Housing Roundtable/SLFRF NOFA Video/Audio

12. Hazard Disclosure Form (required)

13. Residential Diagnostic Evaluation (REQUIRED)

 (Rev. 8/25/2021)

14. Waiver Form (required if applicable)

 (Rev. 9/2021)

15. Quality Control Inspection Checklist (required)

 (Rev. 7/2019)

19 West Apartments

Payments may be made by e-check through the Department's Payment Portal at https://housing.az.gov/portals/adoh-payment-portal

 

Payment may also be made by credit card for invoices not exceeding $10,000. (Please note that credit card transations may not be split for this purpose.)

 

If you have any questions concerning this invoice, contact [email protected].