This form is required to be completed by your employer or agent of your emailoyer. This form must be returned to our office with your application. Failure to do so will delay the processing of your application.

 

Return to:

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Foundation for Rural Housing, Inc.
P.O. Box 314
Oregon, WI 53575
 

Email: wrh@wisconsinruralhousing.org

Fax: (608) 238-2084