Applying for Public Housing

Please make sure that you read What You Need to Know before applying for housing.

The guidelines for applying and being added to our waiting list are below.  Please complete the application in blue or black ink only!

1. All applicants for head of household and co-head of household need to be at least 18 years of age or have emancipation papers filed through the court.
2. All applicants 18 years of age and older must provide a valid picture id (state issued picture id or driver's license).
3. All applicants must provide original social security cards and birth certificates for everyone in the household. Permanent resident cards can be accepted in place of a birth certificate.
4. All applications submitted to MHA must be signed by everyone on the application who is 18 years of age or older and the application must be dated correctly
5. Prior to placement on the waiting list a criminal background check, a Trans Union credit check, a sex offender check, and a landlord reference check will be conducted. When the checks are completed you will either be placed on the waiting list or you will receive a letter from the Housing Authority informing you that you were denied. The letter will provide you with information regarding an informal hearing request.
6. You will be placed on the waiting list according to date and time the application was turned in and received by Moline Housing Authority staff. MHA staff will contact you by phone or mail when your name approaches the top of the list.
7. MHA can also conduct an additional criminal background check, sex offender check, Trans Union credit check, and landlord reference check prior to move in and anytime during your occupancy at Moline Housing Authority.

Thank you for completing an application with the Moline Housing Authority. You may attain a housing application and apply in person at the above location during the denoted times.

*Please note that Section 8 is NOT accepting applications at this time* 

Once your name reaches the top of the waiting list you will be contacted by mail to schedule an interview. At your interview you will be required to provide a birth certification and social security card for everyone in the household. In addition, a photo ID for everyone over 18 will be required as well. Please note, we will not be able to complete your application without all of these items.

Head Of Household Name *

Head of Household Birth Date (MM/DD/YYYY) *

List Any Additional Household Members (Names, Dates of Birth, Sex)

Number of Bedrooms Needed *

•   Efficiency (Minimum Number of People Allowed = 1 / Maximum Number of People Allowed = 2)
•   2 Bedroom (Minimum Number of People Allowed = 2 / Maximum Number of People Allowed = 4)
•   3 Bedroom (Maximum Number of People Allowed = 3 / Maximum Number of People Allowed = 6)

Current Address *

Current City *

Current State *

Current Zip Code *

Phone Number (XXX-XXX-XXXX) *

Email Address *

Annual income from all sources (ex., wages, unemployment, cash assistance, child support, etc). *

Is English your primary language? *

•   Yes
•   No

If no, will you need interpreter services during the application process?

•   Yes
•   No

If yes, what language?

When your application comes to the top of the waiting list you will be required to complete a full application which will include a criminal background check, landlord reference checks, credit check, and provide proof of income and assets.

Head of Household Initial Here *

NOTE: When your name comes to the top of the waiting list, we will mail a letter out to you. At that time you will need to come into our office to fill out a full application as we will not mail or send out the full application. Therefore it is very important that we have your correct address at all times. If your address changes after submitting this application, please contact our office at (309) 764-1819 to update your information.

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