I, ________________________________, [type full name below] (“Applicant”) am applying for certain housing assistance services from Taġiuġmiullu Nunamiullu Housing Authority Emergency Rental Assistance Program. As part of my application for services, I am required to provide background information for the determination of my eligibility. I hereby authorize the following listed person or entity to provide any and all records or other information regarding me and my household, in whatever format, that the person or entity has in his, her or its possession to Taġiuġmiullu Nunamiullu Housing Authority Emergency Rental Assistance Program listed below.