Rental Program Transfer Request

RENTAL PROGRAM TRANSFER REQUEST
The Absentee Shawnee Housing Authority strongly discourages transfers in the rental housing program(s) and will only approve them in extreme circumstances.

YOU MUST MEET ONE OF THE FOLLOWING REASONS LISTED BELOW IN ORDER TO REQUEST A TRANSFER.

NOTE: YOUR REQUEST FORM WILL NOT BE ACCEPTED IF NONE OF THESE APPLY.
- Overcrowded due to the increase in family household size,
- Unsafe or unsanitary living conditions,
- Medical reasons and/or need for live-in aid.
Upon submitting your request, the Absentee Shawnee Housing Authority will review your lease status to determine if you have any history of non-compliance. Should any compliance issues be found within six (6) months prior to the submission of your transfer request, the request will automatically be denied.
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PO Box 425 107 N. Kimberly Shawnee, OK 74802-0425
Phone 405-275-1050 Fax 405-275-0678
RENTAL TRANSFER REQUEST FORM
This form must be completed and signed below by the participant to request a transfer within the rental program. By completing this request, you understand fully staff will review your lease status to determine eligibility. This request will not be approved if you have been notified of the following issues: 1). Noncompliance for inspection, 2). Noncompliance for non-payment or 3). Any other violation of the lease terms of the Absentee Shawnee Housing Authority. By submitting this request, you also fully agree and understand you are required to have a home inspection within two (2) weeks before your transfer and a final move-out inspection which you MUST attend.
Full Name:

First NameMiddle InitialLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone:
Format: (000) 000-0000.
Phone Alternate:
Format: (000) 000-0000.
Email Address: (If Applicable):
example@example.com
Describe below the reason for your transfer request:
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By signing below, I have read and agree to the above terms for a transfer within the rental program. I understand that I am not approved until notice is given of the decision by Absentee Shawnee Housing Authority. I understand there is no guarantee I will be placed into a housing unit without delay; I expect a waiting period for availability.
Signature
Date

MonthDayYear
Date
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Should be Empty: