By selecting this box, I certify that the information in this application is true and correct.  I further understand that providing false information in applying for housing will result in cancellation or denial of my application or termination of my housing assistance.  I will be contacted to verify the information I have provided here, including verification of my eligibility for any preferences that I have claimed, when I near the top of a waiting list.  I further understand that failure to report changes in address, phone number, e-mail, family composition, or eligibility for preferences may result in the cancellation of my application.

If applicant fails to check this box, the application cannot be submitted.