HAKC Sign-In Sheet

HAKC. Housing Authority of Kansas City Missouri Logo. Providing a Foundation for the Future.

Housing Authority of Kansas City
3822 Summit St., Kansas City, Missouri 64111
P 816.968.4100 - F 816.968.4110
Hours: Monday - Friday 8:00 am - 5:00 pm (Summer Hours May Vary)

Fields marked with * must be completed or form will not submit.

[{"type":"text","required":true,"label":"First Name","name":"First-Name","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"Last Name","name":"Last-Name","className":"col-md-6","subtype":"text"},{"type":"text","subtype":"tel","required":true,"label":"Phone Number","description":"Please enter a valid phone number.","placeholder":"(000) 000-0000","name":"Phone-Number","className":"col-lg-4"},{"type":"text","subtype":"email","required":true,"label":"Email","name":"email","className":"col-lg-4"},{"type":"text","subtype":"email","required":true,"label":"Email Confirmation","name":"email-confirmed","className":"col-lg-4"},{"type":"text","required":true,"label":"Last 4 Digits of SSN: ","name":"Last-4-Digits-of-SSN-","maxlength":4,"className":"col-lg-4","subtype":"text"},{"type":"select","required":true,"label":"Reason for Visit:","name":"Reason-for-Visit","className":"col-lg-4","values":[{"label":"Please Select One","value":"no-answer","selected":true},{"label":"Case Manager Conference","value":"Case Manager Conference"},{"label":"Recertification","value":"Recertification"},{"label":"Relocation","value":"Relocation"},{"label":"Other","value":"other"}]},{"type":"text","label":"If other, enter reason for visit.","name":"If-other-enter-reason-for-visit","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h3","label":"HAKC STAFF ONLY","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"text","subtype":"disabled","label":"Enter initials once updated in Clients and Units in Bob.ai","name":"Enter-initials-once-updated-in-Clients-and-Units-in-Bobai","value":"HAKC USE ONLY","className":"d-block"},{"type":"radio-group","label":"Client and Units in Bob.ai - Select One","inline":true,"name":"Client-and-Units-in-Bobai---Select-One","className":"d-block","values":[{"label":"Account Created","value":"Account Created"},{"label":"Invited","value":"Invited"},{"label":"Updated in Bob.ai","value":"Updated in Bob.ai"}]},{"type":"paragraph","subtype":"p","label":"If you click on \"Submit,\" the front desk will print for you.<br><br><div>If you click on \"Print Before Submission,\" the submission will print from your location and you do not need to hit submit. </div><div>You can turn in the paperwork to the front desk.</div>","className":"d-block"}]

HAKC Sign-In Sheet

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