Rental Application and Accompanying Information

Please note: The application process is thorough but fair and considerate of all applicants. Because we are government-funded, we must follow government guidelines with regard to fair housing and concern for the disabled. In turn, you will need to supply a fair amount of information about your assets and general circumstances.

Please fill out ALL the forms below and submit them to Jane Karoway via email at jkaroway@mhpi.net or via fax at 617-789-5750.  For questions, contact Jane Karoway at 617-431-4924.

Application Packet Memo (word document)

Rental Application (word document)

Previous Landlord References (word document)

CORI form (word document)

Criminal and Sex Offenders Background (word document)

9887 form (Package 4-Applicants/Tenants consent to the release of
information) (.pdf file)

Declaration 214 Status Form (.pdf file)

Race and Ethnicity form (.pdf file)

Asset Divestiture Certification (word document)

Bank Verification of Assets (word document)

Certification recertification questionaire (word document)

Zero Income Forms (word document)

Certificate of disability (word document)

92006-Emergency Contact Info (word document)

Social Security Consent for Release of Information

In addition to the above forms, please mail (to the attention of Jane Karoway, 70 Bridge Street, Suite 201, Newton, MA 02458) copies of the following documents:
Birth certificate
Social security card
Social security award letter and any other benefit letters
Bank statements