Instructions - Farm Worker Housing Application

Collier County Housing Authority
1800 Farm Worker Way
Immokalee, FL 34142

All Persons
Are invited to apply for a dwelling unit at farm worker village.

Farm Worker Village/Collier Village is a year-round Farm Labor Housing Facility owned and operated by the Collier County Housing, a Public Housing Authority created under provisions of Florida Statues, Chapter 421. The "VILLAGE" was constructed with loan and grant funds obtained from USDA, Rural Development, said loans secured by Revenue Bonds and Grant Agreements. Tenancy or occupancy of dwelling units are limited to persons and their immediate family, who are Domestic Farm Laborers, as defined by Farmers Home Administration, and who receive a substantial portion of their annual income from Domestic Farm Employment.

Instructions to Applicants
The following information must be furnished by applicant to the Authority before application can be considered complete, processed to determine eligibility for tenancy and priority rating for admission and placed in chronological order on unit size waiting list.

1. Applicant's (head of household) Name, Ethnic Group, Date of Birth, Place of Birth, Social Security Number, Sex Current Mailing Address and Phone Number at which you may be reached if available.
   
   
2. Co-Applicant's (Spouse, mate or other relative) Name, Ethnic Group, Date of Birth, Place of Birth, Social Security Number and sex.
   
   
3. Adult Household Member's (18 and over) Name, Ethnic Group, Date of Birth, Place of Birth, Social Security Number, sex and relationship to Applicant.
   
   
4. Other Household Members, Name Ethnic Group, Date of Birth, Social Security Number, sex and Relationship to Applicant.
   
   
5. If any of foregoing were born outside of the United State or it's possessions, must furnish proof of citizenship or admission to the United States for permanent residence.
   
   
6. Names of Employers, their address and income received from employment during the past 12 months from all adult family members.  Eligibility for tenancy at Farm Worker Village require that a substantial portion (verifiable-not less than $3,997.65) of income be from domestic farm labor.
   
   
7. All family income, other than from employment, for the past 12 months. This would include self-employment business income, payments from Pensions, Social Security, Welfare, A.F.D.C., Unemployment, Workers Compensation Insurance, alimony, child care and any other family income not included in No. 6 above.
   
   
8. Either Tenant or Co-Tenant may furnish the foregoing information and sign application. Upon receipt of information and execution of application you will be given a letter acknowledging receipt of the same.
   
   
9. If additional information is needed to complete a review of eligibility, you will be notified within 10 days of information needed to complete application. On the date all information is received to complete application a number will be assigned.
   
   
10. Upon verification of information and priority to occupancy is established according to USDA, Rural Development Regulations, Application will be placed on Unit Size Waiting List in chronological order. Notice will be given of Priority rating unit size and chronological order.
    
    
11. First Priority for occupancy in Farm Labor Housing must be given to households with 71 to 100 percent of total earnings from domestic farm labor; second priority is to be given households with 51 to 70 percent of total earnings form farm labor; third priority is to be given households with 26 to 50% of total income from farm labor; and fourth priority is to be given households with 25% or less of total income from farm labor.
    
    
12. As units become available in unit size needed, units will offered to applicants according to priority rating (1st - 2nd - 3rd - 4th) as listed on Waiting List. Example - All 1st priority Applicants on list will be offered unit before 2nd priority applicants are offered units; 2nd before 3rd, and 3rd before 4th.

In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, age, disability, religion, sex, familial status, sexual orientation, and reprisal.

To file a complaint of discrimination, write to:

USDA, Assistant Secretary of Civil Rights
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, S.W., Stop 9410
Washington, DC 20250-9410

Or call toll-free at 866.632.9992 (English) or 800.877.8339 (TDD) or 866.377.8642 (English Federal-relay) or 800.845.6136 (Spanish Federal-relay). USDA is an equal opportunity provider and employer.

---

Information you need to bring with your application:

1. Completed Application.
   
   
2. Mailing Address & Telephone numbers where we could reach you.
   
   
3. Driver License or I.D. for the adults.
   
   
4. Resident Cards or Certificate of Citizenship.
   
   
5. Birth certificates for everybody.
   
   
6. Social Security Cards for everybody.
   
   
7. Year to date gross wages print out from your job.
   Every person that works needs to sign Employment Verification for every job.
   
   
8. W-2's and Tax Return for current year.
   
   
9. 12 months print out of Child support & Court Case Order (if you don't have this information you need to go to the court house).
   
   
10. Copy of the Award letter of Social Security and Social Security Supplement Income checks. Current & Past year.
    
    
11. Unemployment letter (transcript wages).
    
    
12. CASH AFFADAVIT:  Won't Qualify you. You could work for cash as a side job, but your source of income has to be paid by CHECK STUBS to QUALIFY.
    ***Agriculture Work***
    If paid by CASH; you need a notarized statement from your employer. Example: (EMPLOYER Name, Address and Telephone Number; NEED TO BE IN A LETTERHEAD! Letter has to state your name, job description, seasons, and pay rate weekly, if paid by day, needs to state, how many days you work.) You have to report your cash income at the end of the year (Tax Return, 1099 misc.).
    
    
13. If your Child is over 18 years of age:
    1. They need proof of college transcript that shows the credits of every class. You need 12 credits per semester. Full-Time Students, we only need your transcript every semester.  Part-Time Students, you need to bring your transcript and your job information, or letter.
    2. If they are not working, they need a notarized letter of no employment and once you get a job, you need to report it to the Collier County Housing Authority.
       
       
14. Assets? Need to sign a Bank Verification.
    
    
15. Pay Day Care services for children 13yrs. of age and under and your employed or to attend school?  Come before appointment, so we could give you a day care verification to take to day care.  We need this form fill out by the appointment.
    
    
16. Landlord Receipt or Notarized statement, if stay with family members.
    
    
17. Background Check for Every Adult in household.
    
    
18. Report any other income that not listed.

ATENCION
Si usted no entiende o lee Ingles, nustros empleados latinos pueden leer y explicar la noticia para usted.

ATTENCION
Si ou pa konpran -n angle ou byen ou pa ka li, employe nou you ki pale Kreyol ka li e explike ou tout bagay an kreyol. 

"This institution is an equal opportunity provider, and employer."