Preliminary Application Update/Correction Request Form_English

Applicant Information

Applicants who are currently on our wait list are required to notify DCA of any changes to your household size, income, assets, address, phone number, email address, or employment status within 30 days of the change.  Please use this form to update/correct information.  Submission of the form to DCA can be done via email or fax, to the address or fax number shown at the top of the form.