Income Change Request Form - Section 8

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Phone: 805-736-3423 ' Fax: 805-735-7672
815 West Ocean Avenue, Lompoc, CA 93436
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Please fill out the form below if you have experienced a loss or change in income. A staff member will reach out to you as soon as possible. Please include as much detail as possible.

* = required fields.

Please submit online or print the completed form with supporting documentation and drop off at any of our drop box locations listed below:

Santa Maria
Evans Park - 200 W Williams St
Central Plaza - 200 N McClelland St Rancho
Hermosa - 235 E Inger Dr

Goleta
Housing Office - 5575 Armitos Ave
Sandpiper Apartments - 375 Ellwood Beach Dr
Positano Apartments - 11 Camino De Vida
Pescadero Lofts - 761 Camino Pescadero

Lompoc
Administration - 815 W Ocean Ave
Housing Office - 817 W Ocean Ave
Lompoc Terrace - 904 W Walnut Ave
Parkside Gardens - 240 W Pine St
Homebase on G - 513 North G St
Cypress Court - 125 South 7th St
Creekside Village - 260 Gonzales Dr, Los Alamos

Reason For Request

Decrease of Income

Increase of Income (New Job)

Change in Current Employment (Raise, Shift Differential, Bonus, etc.)

Increase/Decrease of Income Benefits

Adding/Removing an Adult (18+) Household Member

Adding a Minor Household Member

Removing a Minor Household Member

No Longer a Full-Time Student

Becoming a Full-Time Student

In Kind Income (Family/Friend Support)

Child Support Increase/Decrease

The reported change will be effective on the first day of the next month.

I certify under penalty of perjury that the reported change(s) are true and correct and any additional changes will be reported immediately.

HACSB USE ONLY