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Appointment Request Form

Appointment Request Form

Appointment Request Form

Schedule an appointment with a Berkeley Housing Authority staff member.

After submitting this form, you will receive an email with a copy of the completed form for your records.

Please allow up to 3 business days for a response.

Receive This Form by Mail or Pick-Up

If you do not want to complete this form online, you can call our main office to have it mailed to you. You can also pick it up in the office.

Berkeley Housing Authority
1947 Center Street Fifth Floor, Berkeley, CA 94704
Telephone: (510) 981-5470 Fax: (510) 981-5480

Appointment Request Form

"*" indicates required fields

Name of Requestor*

First

Date*

MM slash DD slash YYYY

I am:*

Please select one.

Section 8 Program Participant

Property Owner/Agent

Waitlist Applicant

Other

Please explain:

Email*

Enter Email Confirm Email

Phone*

Address*

Street Address Apt City State ZIP Code

Note: Most questions/concerns can be handled by email or phone call. BHA staff will contact you by phone/email to see if your question can be handled more efficiently via phone or email. Thank you.

Please Indicate Staff:*

Front Desk

Lynda DeShazier - Housing Specialist (client last name begins with: A, B, C, D, K, L, O)

Veronica Jefferson - Housing Specialist (client last name begins with: E, F, G, H, I, J, M, N)

Althea Maybon - Housing Specialist (client last name begins with: Mc, P, Q, R, S, T, U, V, W, X, Y, Z)

Moriah Griffin - Inspections Desk

Tracy Jackson - Housing Occupancy Manager, New Contracts/ Portability/Mod. Rehab SRO Program

Tilda Barnes - Management Analyst

Christi Neely - Finance Accounting

Grace Grish - Finance/Accounting

Jesy Yturralde - Finance/Accounting

Executive Assistant

Reason for Appointment*

CAPTCHA

Berkeley Housing Authority logo

Berkeley Housing Authority
1947 Center Street Fifth Floor, Berkeley, CA 94704
Telephone: (510) 981-5470 Fax: (510) 981-5480

Do you need assistance to complete the forms required to determine your eligibility? *

Yes No

If you need additional assistance to complete this form and determine eligibility, please contact the Berkeley Housing Authority main office. You can schedule a time to meet with someone or pick up the manual form in the office.

Berkeley Housing Authority
1947 Center Street Fifth Floor, Berkeley, CA 94704
Telephone: (510) 981-5470 Fax: (510) 981-5480

Berkeley Housing Authority

Berkeley Housing Authority

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