3702 Loop 322 • Abilene, TX 79602 • 325-672-8544

Veteran Intake Form

Please enter as much information as you can.

MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
DD-214 in Possession?(Required)
Va Card in Possession?(Required)
Have you spoken to anyone in HUDVASH Program?

Please have the Following Documents Available:

  • DD-214
  • Sign HINQ Request
  • Social Security Card
  • Proof of Income/Social Security Benefits/VA Disability (Employment - last 3 months of pay stubs.)
  • Photo ID (Driver's License/State ID/VA Card/Passport/School ID/TDCJ/BOP)
  • Copy of your Lease
  • Copy of Eviction/Notice to Quit/Warning Letter
  • Disconnect Notice (Utilities)
  • Landlord Contact Info (Name of apartments/Property Col, Owner, address, & Tel. No.)