Application for Tenancy

All sections of this application must be completed.

Legal names must be used.

All information is confidential.

If you are unable to complete this application, someone may complete it with you. That person must sign at the "Section H - Authorization" page to acknowledge completing the application for you. If you need additional assistance, please contact our office at 716-542-3030.

Please keep in mind that different properties have different screening criteria. The applicant will have to meet those criteria to be accepted to the waitlist. Please review our website or call us at 716-542-3030 (TDD: 800-662-1220) to answer any elgibility questions you have.

If you need a paper application please email us at apply@odsmgmt.com

TENANT RIGHT TO REASONABLE ACCOMMODATION FOR PERSON WITH DISABILITIES

The New York State Human Rights Law requires housing providers to make reasonable accommodations or modifications to a building/living space to meet the needs of people with disabilities. If you have a physical, mental, or medical impairment, you can ask your housing provider to make the common areas of your building accessible, or to change certain policies to meet your needs. To request a reasonable accommodation, you should contact your site manager after your offered tenancy. A housing provider may request medical information, when necessary, to support that there is a covered disability and that the need for the accommodation is disability related.

This institution is an equal opportunity provider and employer. If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov

NOTES FOR APPLICANT: Please provide all information requested, this application can take 45 minutes or longer to complete. Please make sure you have all personal information for any other household members and put N/A if something doesn't apply. Blank responses will be viewed as unanswered, and application could be rejected. Acceptance of application does not guarantee an apartment.

Fill in where applicable. All members who will be occupying the unit need to be included here.

**Please note: If you are opting out of the credit check you MUST supply:

• Proof of 12 consecutive months of on-time in-full rent payments, or
• Receipt of a subsidy or subsidies that pay the FULL amount of rent

List any cars, trucks, or other vehicles owned. Parking will be provided for ONE vehicle. Arrangements with Management will be necessary for more than one vehicle.

I/We do hereby authorize the staff of ODS Management Inc. to contact any person, agency, office, group or organization to obtain and verify any information deemed necessary to complete my/our application for housing in the property managed by O.D.S. Management Inc. I/We agree to hold harmless O.D.S. Management Inc. and any landlord or person listed above from any all claims I/we may have for the contents of the information disclosed and for the disclosure and use of this information.

Please note that you have the right to review /contest / have explained the results of background and/or credit checks

Copies of the required items below must be attached to your completed application or emailed to apply@odsmgmt.com

1. If you are 62 or older:
   1. Please upload a copy of your social security letter
2. If you are disabled:
   1. Please upload a copy of your social security, SSI or SSD award letter, or statement by qualified person.
   2. The nature of the disability does not have to be disclosed.
3. ALL household members
   1. Copy of birth certificate or driver's license AND social security card

I/We hereby certify that I/We Do/Will Not maintain a separate subsidized rental unit in another location. I/We further certify that this will be my/our permanent residence. I/We understand I/We must pay a security deposit for this apartment prior to occupancy. I/We understand that my eligibility for housing will be based on applicable income limits and by management’s selection criteria. I/We certify that all information in this application is true to the best of my/our knowledge and I/We understand that false statements or information are punishable by law and will lead to cancellation of this application or termination of tenancy after occupancy.

I/we hereby certify that attached to this application are “Things you should know about USDA rural rental housing” information, “Notice of occupancy rights under the violence against women act” including HUD form 5382.

All adult applicants, 18 or older, must sign application.

The information regarding race, ethnicity, and sex designation solicited on this application is requested in order to assure the Federal Government, acting through the Rural Housing Service, that the Federal laws prohibiting discrimination against tenant applications on the basis of race, color, nation origin, religion, sex, familial status, age, and disability are complied with. You are not required to furnish this information. This information will not be used in evaluating your application or to discriminate against you in any way.

Check the appropriate blocks and account for all adult household members by listing their or your name under the applicable statement:

SECTION 1001 OF TITLE 18, UNITED STATES CODE PROVIDES: ''WHOEVER, IN ANY MATTER WITHIN THE JURISDICTION OF ANY DEPARTMENT OR AGENCY OF THE UNITED STATES KNOWINGLY AND WILLFULLY FALSIFIES, CONCEALS OR COVERS UP BY ANY TRICK, SCHEME, OR DEVICE A MATERIAL FACT, OR MAKES ANY FALSE, FICTITIOUS OR FRAUDULENT STATEMENTS OR REPRESENTATIONS, OR MAKES OR USES ANY FALSE WRITING OR DOCUMENT KNOWING THE SAME TO CONTAIN ANY FALSE, FICTITIOUS OR FRAUDULENT STATEMENT OR ENTRY, SHALL BE FINED UNDER THIS TITLE OR IMPRISONED NOT MORE THAN FIVE YEARS, OR BOTH.''

Dear Applicant,
 

The following documents are required to be provided to you on application. 

1. Resident’s Right to A Reasonable Accommodation
2. Violence Against Women’s Act – Notice of Occupancy Rights
3. Violence Against Women’s Act – Certification Form
4. Things You Should Know About USDA Rural Rental Housing*
5. Know Your Rights: New York State’s Anti-Discrimination Policy When Assessing Justice-Involved Applicants for State-Funded Housing
6. Know Your Rights: New York State’s Credit Policy for Applicants to State-Funded Housing

Please review the documents and select the checkbox to acknowledge receipt of the documents. 

*not applicable for Wellington North Apartments