Application

Forms to Read

Click – To Print

All Documents to Read

  • Prospective Resident Letter (Print)
  • Brochure -Alberta Simmons Plaza (Print)
  • Criteria For Residency (Print)
  • Notification of Nondiscrimination On Basis Of Handicapped Status (Print)
  • Reasonable Accommodation Notification (Print)
  • Application Attachment – Change Of Address Notification (Print)

Forms to Complete

Click – To Print

Application – 1 Person

Click-To Print

Application – 2 Person

  • Application For Residency (Print)
  • Application Attachment – Head of Household (Print)
  • Smoking Policy Disclosure (Print)
  • Supplement to Application for Federally Assisted Housing (Print)
    (2 Person Application – each Applicant needs to complete their own)
  • Notification And Acknowledgement (Print)
  • Tenant Data (Print)
  • Reference Checklist (Print)
  • Race and Ethnic Data Reporting Form (Print)
    (2 Person Application – each Applicant needs to complete their own)
  • Handicap/Disabled Status Information Request (Print)
    (2 Person Application – each Applicant needs to complete their own)

When The Above Forms Are Completed Mail To:

Alberta Simmons Plaza
6611 NE Martin Luther King Jr. Blvd
Portland, OR 97211-3073

Include a photocopy of Picture ID and Social Security card for each applicant.

All required paperwork must be received before your Application can be reviewed.

Please call if you have any questions 503-240-4198.