HOUSING ASSISTANCE APPLICATION PACKET - Housing Improvement Program - Required Documents and Application Form BIA 6407

Sep 19, 2026

Housing Assistance Application Packet for the Housing Improvement Program (Fiscal Year 2026) collects applicant, household, and income details needed to apply for housing support. It specifies that all questions must be answered and all forms must be completed, signed, and dated, including authorizations, income verification, and housing assistance verification. The packet lists required documents such as CIB, Social Security cards, award letters, employment verification, lease information, and cultural resource compliance materials, and provides submission methods and agency office addresses with a due date of 9/30/2025.

LanguageEnglish

CategoryForms

FormatPDF

Pages12

Reading Time4 min

AccessFree to download

HOUSING ASSISTANCE APPLICATION PACKET

Required Documents

Applicant Information (Part A)

Family Information (Part B)

Income Information

Housing Information

HOUSING IMPROVEMENT PROGRAM Applicant Name: Fiscal Year: 2026 (Official Use) Distribution Date: Chapter: *All Household Members over 18 years of age is required to complete all forms attached HOUSING ASSISTANCE APPLICATION PACKET All forms must be complete, sign, dated and all questions answered. Received Missing | Housing Assistance Application (Form BIA 6407) Map (Location of Homesite or Residential Lease) | | | | --- | --- | --- | | | | | | * Income Information Checklist | | | | * Individual Indian Money (IIM form) (Individual Form for applicant and household members) | | | | * Federal Income Tax Return for current year: 2024. If filed, copies of 1040 Tax Return | | | | *Verification of Employment (Complete by employer if employed) | | | | * Housing Assistance Verification (Must be completed by Navajo Housing Authority) | | | | *Authorization to Release of Information | | | | | | | REQUIRED DOCUMENTS Provide list of the required documents to complete application process. | Certificate of Indian Blood (CIB) -for all household members | | | | --- | --- | --- | | Social Security Cards-for all household members | | | | *Award Letters from Unearned Income: Social Security, VA, Retirement, Unemployment, etc. | | | | Doctor Statement- If claiming disability (If you are receiving SSI, no Doctor statement needed) | | | | Veteran Document (DD214) - If claiming Veteran | | | | Finalized Homesite Lease- In Applicant's Name | | | | Cultural Resource Compliance or Archaeological Inventory Report w/map | | | | OPTIONAL: Biological Report | | | | Other: Guardianship and/or Adoption decree for niece/nephew or grandchildren, Etc. | | | | Email address: Correspondence Purpose Only | | | DUE BY: 9/30/2025 (APPLICATION AND ALL NECESSARY DOCUMENTS/FORMS) APPLICATION CAN BE MAIL, FAX OR DROP OFF AT THE THREE AGENCY OFFICES Fort Defiance Agency Housing Improvement Program, PO Box 527, Fort Defiance, Arizona 86504 | Bldg\#8229 Field House Road Phone\# (928) 729-4017 FAX\# (928) 729-4277
Chinle Agency Housing Improvement Program, PO Box 280, Chinle, Arizona 86503 | | --- | | Bldg\#2492 S/W of Chinle Chapter House Phone\# (928) 674-2260 FAX\# (928) 674-2266 | | Crownpoint Agency Housing Improvement Program, PO Box 1768, Crownpoint, NM 87313 | | ASC Bldg\#6746, Chapter Hs. Road Phone\# (505) 786-2105 FAX\# (505) 786-2110 | Western Agency Chapter constiteunts can contact Chinle Agency Office. Shiprock Agency Chapter constiteunts can contact Fort Defiance Agency Office. BIA Form 6407 ISSUED [5/31/22] OMB Control No. 1076-0184 EXPIRATION DATE: [5/31/2025] UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF INDIAN AFFAIRS HOUSING ASSISTANCE APPLICATION • All questions in this application must be answered. The requested information is self-explanatory. • This application is subject to the Privacy Act of 1974, Pub. L. 93-579 A. APPLICANT INFORMATION 1. Name: Last First MI Maiden Name (if any) 2. Current Address: Street Address P.O. Box \# (if any) City State Zip Code 3. Telephone Number: ( ) 4. Date of Birth: 5. Social Security Number: 6. Tribe: Roll Number: Reservation/Rancheria: 7. Marital Status: Married Singled Widowed Other If you checked “Other”, please explain 8. Are you Homeless? No Yes 9. Are you or spouse a Veteran? No Yes Information About Spouse: 10. Name: Last First MI Maiden Name (if any) 11. Date of Birth: 12. Social Security Number: 13. Tribe: Roll Number: B. FAMILY INFORMATION List all other persons living in household on a permanent basis. Start with the oldest and provide Name, Date of Birth, Social Security Number, Relationship to Applicant, and Tribe/Roll Number . Name Date of Birth Social Security \# Relationship to Applicant Tribe/Roll Number If you need more space, use a blank sheet of paper. BIA Form 6407 ISSUED [5/31/2022] OMB Control No.

FAQs

What are the mandatory submission requirements for the Housing Assistance Application Packet?

All forms must be complete, signed, dated, and every question must be answered. Submitted documentation must include all necessary supporting forms and materials listed in the packet.

What due date applies to the application and required documents?

The application and all necessary documents/forms are due by 9/30/2025.

Which required documents are requested to complete the application process?

The packet requests documents such as Certificate of Indian Blood (CIB), Social Security cards, award letters for unearned income, doctor statement for disability when applicable, DD214 for veterans, finalized homesite lease, and cultural resource compliance or archaeological inventory report with map. Optional items include biological reports, and other guardianship/adoption decrees when relevant.

Sep 19, 2026

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