BRHP | Voucher Extension Request

The Baltimore Regional Housing Partnership (BRHP) may extended your voucher. BRHP will decide whether to approve or deny an extension request within 10 business days of the date we received the request, and will immediately provide you written notice of the decision.

Head of Household Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone
Cell Phone*
Email*
Mailing Address, if different, from home address listed above
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reason for Request

Tell the reason you asking for an extension. BRHP may require you to provide documentation to support the request or for BRHP to get verification from a qualified third party.
*
Voucher Information

BRHP must receive this request prior to the voucher expiring and supporting documentation may be required.
Date Issued
MM slash DD slash YYYY
Date Expires
MM slash DD slash YYYY
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Signature of Head of Household*
Date
MM slash DD slash YYYY