Skip to form

Cliffside Park Housing Authority

Rrahvar@cp-ha.org

500 Gorge Road Ste #1, Cliffside Park, NJ, 07010, US

201-941-0655

No Assets Form

Date

Date Picker

Full Name of Household Member

Tenants Full Address

I certify that I currently do not have any assets of any kind. I understand that if I do have assets in the future, I must report the change to my case worker at the Cliffside Park Housing Authority within ten days of obtaining the new account. 

It is further understood that if it is subsequently discovered that I have withheld or provided false or misleading information that it may result in the termination of my participation in the Housing Choice Voucher Program. 

 

Signature of Head of Household

Choose how to sign