• Client Registration Form

  • Please fill out the following form so that we can best serve you during your apartment search!

    All information will remain confidential and will only be used by the 'Live in Oak Park' Rental Advisors at the Oak Park Regional Housing Center. Once you submit your form, a Rental Advisor will contact you with apartment listings that match your needs!
    If you are having any difficulty filling out the form, please call our office at 708-848-7150 for assistance.

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  • The information on this intake form will remain confidential. However, it is vital funding/grant information required for reporting in aggregate to HUD and all content on this page is required by HUD. Please complete below:

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  • Your signature below indicates that you accept disclosure of your new address (or nearest cross streets) as terms of agreement for our service.

    Draw your signature using your mouse or finger / stylus if you are using a touchscreen device.

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  • Certification: I certify that the information on this registration form is true and correct as of the date with my signature here and acknowledge my understanding that any intention or negligent misrepresentation(s) of the information contained on this form may result in civil liberty and or criminal penalties including, but not limited to, fine or imprisonment or both under the provision of Title 18, United States Code, section 1002, et seq.

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  • For Office Use Only: The following section is to be filled out by the Housing Center. Please do not answer any of the following questions.

  • ID #:                                                    Advisor:                                              Admin  /  Public Service

    G:                                                                                         Date:                         Time:                                              

    Final Result:                                                                                                                                 Date:                              

    Close-Out Date:                                                           Aff Move?    Y    /    N

    Listings: 

                                                                                                                                                                                                                                                                                                                                                                                                                                                           

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