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Rental Housing

There are four parts to the Affordable Housing Rental Unit application. Please read the applicant screening criteria before starting the application.

  1. Applicant Screening Criteria

  2. Application For Affordable Housing Rental Unit

  3. Release Authorization

  4. Conflict of Interest Policy


Applicant Screening Criteria

NWCSA owns properties in Ashland, Bayfield, Douglas, Iron, and Price Counties and strives to maintain the quality of the neighborhood. We are working to make sure that people do not use rental units for illegal activity. Therefore, we use screening procedures to evaluate each prospective tenant before we rent. These procedures are listed below. Reasons why an application may be rejected are also listed.

Please review our list of criteria. If you feel you meet the criteria, please apply. Please not that we provide equal housing opportunity; we do not discriminate on the basis of race, color, religion, sex, handicap, national origin, familial status, martial status, sexual orientation, gender identity, lawful source of income, age, or ancestry.

Rental History

It is your responsibility to provide us with the information necessary to contact your past landlords. We reserve the right to deny your application if, after making a good faith effort, we are unable to verify your rental history.

Income

We must be able to verify independently the amount and stability of your income. (For example: through pay stubs, employer/source contact, or tax records. If self-employed: business license, tax records, bank records, or a list of client references.)

Application

Applicants will be notified in writing if their application is denied.

YOU WILL BE DENIED THE RENTAL IF:

  1. You misrepresent any information on the application. If misrepresentations are found after the agreement is signed, your agreement will be terminated.

  2. If the completed application contains any omissions (not satisfactorily explained).

  3. In the past five years, you have had a conviction for any type of crime. Non-violent felons may be considered for tenancy five years from the satisfaction of sentence.

  4. If you have repeated offenses of violent/threatening behavior or damaging property.

  5. Your credit check shows accounts that are not current or a judgment against you for financial delinquency and unpaid fines or court costs are not acceptable.

  6. If you have been evicted during the past two years for late or non-payment of rent or for behavior that includes causing disturbance, threatening other persons, damaging an apartment or other reason, your application will be rejected.

  7. Previous landlords report significant complaint levels of noncompliance activity such as: repeated disturbance of the neighbors peaceful enjoyment of the area; reports of prostitution, drug dealing, or drug manufacturing; reports of violence or threats to landlords or neighbors; allowing persons not on the rental agreement to reside on the premises; failure to give proper notification when vacating the property.

  8. NWCSA does not provide housing for Registered Sex Offenders.

If you have a complaint or disagreement with a policy or action of Northwest Wisconsin Community Services Agency Inc.'s programs and/or staff, or if you feel that you have been denied access to services unfairly, or if you feel you have been discriminated against for any reason, the following grievance should be used to express your concerns.

  1. Bring the complaint directly to the program coordinator or other NWCSA staff person with whom you feel comfortable. Staff will assist you in determining the options for addressing your concerns. Please note that all complaints must be placed in writing and submitted within 10 days of the incident.

  2. If you feel that the complaint is not addressed effectively following the above, you may request to meet with the agency director concerning the matter.

  3. If you feel that the issue continues to be unresolved, you may register a complaint in writing to:
    Northwest Wisconsin Community Services Agency, Inc.
    Board of Directors
    Attn: Board Chair
    1118 Tower Avenue
    Superior, WI 54880


APPLICATION FOR AFFORDABLE HOUSING RENTAL UNIT

APPLICANT INFORMATION

FIRST NAME:
LAST NAME:
MIDDLE INITIAL:
HOME PHONE:
CELL PHONE:
SOCIAL SECURITY NUMBER (SSN):
DATE OF BIRTH (DOB):
EMAIL ADDRESS:

CURRENT ADDRESS

STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
MONTHLY RENT:
REASON FOR LEAVING:
RENTAL ASSISTANCE:
DATE IN:
DATE OUT:

PREVIOUS ADDRESS

STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
MONTHLY RENT:
REASON FOR LEAVING:
RENTAL ASSISTANCE:
DATE IN:
DATE OUT:

OTHER OCCUPANTS

LAST NAME:  
FIRST NAME:
MIDDLE INITIAL:
SOCIAL SECURITY NUMBER:
DATE OF BIRTH (DD/MM/YY):
RELATIONSHIP
 
LAST NAME:  
FIRST NAME:
MIDDLE INITIAL:
SOCIAL SECURITY NUMBER:
DATE OF BIRTH (DD/MM/YY):
RELATIONSHIP
 
LAST NAME:  
FIRST NAME:
MIDDLE INITIAL:
SOCIAL SECURITY NUMBER:
DATE OF BIRTH (DD/MM/YY):
RELATIONSHIP
 
LAST NAME:  
FIRST NAME:
MIDDLE INITIAL:
SOCIAL SECURITY NUMBER:
DATE OF BIRTH (DD/MM/YY):
RELATIONSHIP
 
LAST NAME:  
FIRST NAME:
MIDDLE INITIAL:
SOCIAL SECURITY NUMBER:
DATE OF BIRTH (DD/MM/YY):
RELATIONSHIP
 

EMPLOYMENT & INCOME INFORMATION

HOUSEHOLD MEMBER:  
OCCUPATION:
INCOME SOURCE:
STATE DATE:
END DATE:
MONTHLY AMOUNT:
   
HOUSEHOLD MEMBER:  
OCCUPATION:
INCOME SOURCE:
STATE DATE:
END DATE:
MONTHLY AMOUNT:
   
HOUSEHOLD MEMBER:  
OCCUPATION:
INCOME SOURCE:
STATE DATE:
END DATE:
MONTHLY AMOUNT:
   
HOUSEHOLD MEMBER:  
OCCUPATION:
INCOME SOURCE:
STATE DATE:
END DATE:
MONTHLY AMOUNT:
   
ANY HOUSEHOLD MEMBER HAVE AN INTEREST BEARING ACCOUNT WITH A BALANCE OVER $5,000?  YES  NO

CERTIFICATION

I/WE CERTIFY ALL THE ABOVE INFORMATION IS COMPLETE AND CORRECT. I/WE UNDERSTAND FALSE STATEMENTS OR WITHHOLDING OF REQUIRED INFORMATION IS GROUNDS FOR DENIAL. IF YOU BELIEVE YOU HAVE BEEN DISCRIMINATED AGAINST YOU MAY CALL THE FAIR HOUSING AND EQUAL OPPORTUNITY NATIONAL HOTLIN AT 1-800-424-8590
 
SIGNATURE OF HEAD OF HOUSEHOLD: DATE:
SIGNATURE OF APPLICANT: DATE: