Skip to content

Please use the below form to submit you rent change.

Contact Info

Tenant Info

Tenant Name
Tenant Address(Required)


Water Paid By(Required)
Oven/Stove Useage(Required)
Oven/Stove Paid By(Required)
Heating Paid By(Required)
Water Heating(Required)
Water Heating Paid By(Required)
Sewer Paid By(Required)
Other Electrical Paid By(Required)
Example: Lights & Appliances.
Air Conditioning(Required)
Air Conditioning Paid By(Required)
Trash Removal Paid By(Required)
Oven/Stove provided by(Required)
Refrigerator provided by(Required)
60 Day Notice(Required)
By CHECKING the following box, you are certifying that you have given a 60 day notice to the tenant currently residing at the property for which this request is being made.

Your rent increase wil be approved if the following conditions are met:

  • The owner has filled out this form in its entirity.
  • The rent is reasonable compared to similar units that are not assisted by the Section 8 program. CCHA will notify you within 15 days of your request if the proposed rent is reasonable. 
  • The tenant has been notified of the proposed rent increase at least 60 days prior to the effective date.
This field is for validation purposes and should be left unchanged.
Back To Top