Military Housing Application

Military Housing Application

Rank/Grade*
Date of Rank*

MonthDayYear
Date
Report Date*

MonthDayYear
Date
Past Installation*
Branch of Service*
Incoming Unit Assignment*
Date Clearing Prior Installation*

MonthDayYear
Date
Would you like to request a roommate?*

YesNo

Household Data

Who will be living with you?
Will anyone else be residing in the home with you?*

YesNo
Is this a dual-military household (both spouses are active-duty service members)?*

YesNo
Non-Military Dependents Residing with Military Member*
Dual Military Dependent Residing with Military Member*
Dependent Branch of Service*
Dependent Rank/Grade*
Dependent Date of Rank*

MonthDayYear
Date
Are your dependents authorized to travel?*

YesNo

Additional Information
Village Preferences*
Pets? (maximum 4 pets)*
Type/Breed (check banned breeds on our website)*
Do you own a plug-in electric vehicle (EV)?*

YesNo
Do you or your dependents require any special accommodations? If yes, please provide management with additional information regarding your special housing needs.*

Emergency Contact
Please provide your emergency contact's information.*

Please submit your PCS orders.
A copy of your PCS orders (including any amendments) and documentation verifying dependents traveling with you are required to complete this application. If dependents not listed on Orders, please submit the standard DEERS enrollment form DD-1172.*

Cancelof

International Travel Orders
A copy of your International Travel Orders (ITO), including any applicable amendments, are required to complete this application.*

Cancelof

International Military Service Member Housing Checklist
Please read the following checklist and download it for your future reference.
By signing below, I acknowledge that I have read and understand the Before Move-In Checklist requirements. I agree to provide all required documentation and complete the listed items prior to my move-in date.*

Active Duty Housing Checklist
Please read the following checklist and download it for your future reference.
By signing below, I acknowledge that I have read and understand the Before Move-In Checklist requirements. I agree to provide all required documentation and complete the listed items prior to my move-in date.*

By signing below, I certify that the information provided in this housing application is true, complete, and accurate to the best of my knowledge.

I acknowledge that additional documentation may be required to proceed in the housing process and that I am responsible for providing requested materials in a timely manner.
Signature*
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