Signup - Affordable and Accessible Housing Registry

You'll use this information to log in to your account. Choose something that will be easy for you to remember but hard for others to guess.

Email:

User ID: {{IDMUserName}}

I don't have an email address.

User ID: {{IDMUserName}}

Password:

Confirm Password:

Show password

Additional Email Address

When do you want to be contacted?

Yes - Tell me when there is a new building in the Registry

Yes - Tell me when I can join the lottery for any vacant unit in a building

Yes - Tell me when I can put my name on waiting lists for any units that become vacant in a building

Notify me when properties are accepting applications (applicants must apply directly with Property Contact)

The Wait lists for Accessible Units for people with disabilities are always open, so you can add your name anytime.

Select all the below that apply:

Please check all the boxes that apply to you, so that you can be better matched to a housing unit:

Veteran

Currently homeless

Worried about becoming homeless

In unsafe housing / Need to move for safety

None of these apply

*Homelessness is when an individual or family is sleeping in a place not meant for humans to live, such as on the street, in a car, or in a shelter. It also includes people who are escaping domestic violence.

You said you are [ currently experiencing homelessness / worried about becoming homeless / in unsafe housing and need to move for safety ]. Please answer three more optional questions so you can be connected to more housing resources through the Los Angeles Homeless Services Authority (LAHSA).

Date of Birth (DOB):

Last Four Digits of Social Security Number:

Homeless Management Information System (HMIS) Number:

By providing this information, you are giving permission to share your information with the Los Angeles Homeless Service Authority and with owners and property managers of CES properties that have a vacancy.

You are changing the name on your account. Please be advised that changing your name will update information in previously submitted pre-applications.

I am making a correction to my own name.

Please provide a reason for the change in name:

Your contact information will be used to contact you about future housing opportunities.
Please note: you will be contacted in ALL methods entered.

Phone Type:

Phone Number:

Please select the notification options

Text Message
Phone Call
Both
Neither

Do you have an additional phone number of your own that you would like to enter?

Additional Phone Number

Phone Type:

Additional Phone Number

Please select the notification options

Text Message
Phone Call
Both
Neither

Your contact information will be used to contact you about future housing opportunities.
Please note: you will be contacted in ALL methods entered.

Please enter your mailing address (for housing notification)

P.O. Box?

Yes

P.O. Box:

House Number:

House Fraction Number:

Street Direction:

Street Name:

Street Type:

Unit Number:

City:

State:

Zip Code:

Your contact information will be used to contact you about future housing opportunities.
Please note: you will be contacted in ALL methods entered.

Alternate Contact Name

Please enter the information of your alternate contact.

First Name

Middle Name

Last Name

Choose alternate contact method(s)

Email Phone Mailing Address

Alternate Contact Email Address

Alternate Contact Phone Number

Alt. Contact Phone Type

Alt. Contact Phone Number

Please select the notification options

Text Message
Phone Call
Both
Neither

House Number

House Fraction Number

Street Direction

Street Name

Street Type

Unit Number:

City:

State:

Zip Code:

First and Last Name

Email Address

Login User ID

Do you have an additional email address of your own where you want us to contact you about future housing opportunities?

Yes

Additional Email

When do you want to be contacted?

Yes - Tell me when there is a new building in the Registry

Yes - Tell me when I can join the lottery for any vacant unit in a building

Yes - Tell me when I can put my name on waiting lists for any units that become vacant in a building

Notify me when properties are accepting applications (applicants must apply directly with Property Contact)

Notify me when properties are not accepting applications (applicants must follow-up directly with Property Contact)

The Wait lists for Accessible Units for people with disabilities are always open, so you can add your name anytime.

Do any of these describe your household?

Veteran

Currently homeless*

Worried about becoming homeless*

In unsafe housing / Need to move for safety

None of these apply

Date of Birth (DOB):

Last Four Digits of Social Security Number: {{SocialSecurityNumber}}

Homeless Management Information System (HMIS) Number:

Do you have your own phone number?

Yes

Not Provided

Phone Type

Home

Mobile

Work

Not Provided

Phone Number

Notification Options

Text Message

Phone Call

Text and Call

None

Do you have an additional phone number of your own that you would like to enter?

Yes

Additional Phone Type

Home

Mobile

Work

Not Provided

Additional Phone Number

Notification Options

Text Message

Phone Call

Text and Call

None

Do you want to share your mailing address?

Yes

Not Provided

Mailing Address

P.O. Box: {{PostBoxNum}}

{{City}}, {{LutStateCD}} {{Zip}}

Full Name

{{AlternateContact_FirstName}} {{AlternateContact_MiddleName}} {{AlternateContact_LastName}} Not Provided

Alternate Contact Method(s)

Phone

Mailing Address

Email

{{AlternateContact_Email}} Not Provided

Phone Type

Home

Mobile

Work

Not Provided

Phone Number

Notification Options

Text Message

Phone Call

Text and Call

None

Mailing Address

{{AlternateContact_HouseNum}} {{AlternateContact_HouseFracNum}} {{AlternateContact_LutPreDirCd}} {{AlternateContact_StreetName}} {{AlternateContact_LutStreetTypeCD}} {{AlternateContact_Unit}}

{{AlternateContact_CityName}}, {{AlternateContact_State}} {{AlternateContact_Zipcode}}

Create an Account

Your Information

Contact Information - Phone

Additional Phone Number

Contact Information - Mailing Address

Contact Information - Alternate Contact

Your Information

Phone

Mailing Address

Alternate Contact

Create an Account

Your Information

Contact Information - Phone

Additional Phone Number

Contact Information - Mailing Address

Contact Information - Alternate Contact

Your Information

Phone

Mailing Address

Alternate Contact

Self Declared Applicant Questionnaire

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