Income Change Request Form

Floyd County Housing Authority_logo
Phone: 606.285.3833 | Fax: 606.285.3835
402 John M. Stumbo Drive, Langley, KY 41645
FCHA-KY.org
Equal Housing Opportunity logo, Handicapped Accessible logo, and Website Accessible logo

Floyd County Housing Authority (FCHA) tenants and residents that participate in the Public Housing Program may use this form to submit a change of income. Documentation of any change must be attached in order to process your request. If you are unable to attach the documentation via this form, please call for other options.

Fields marked with * must be completed or form will not submit.

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