North Providence Housing Authority     	
945 Charles Street
North Providence, Rhode Island 02904 

                                                                                                                            Telephone 401-728-0930		
Carol Pontarelli, Chairman					                                 Fax 401-728-2126
Rosemary Andreozzi, Vice Chairman				                                        E-mail-marsenault@nphousing.org
Armand Milazzo, Commissioner 					                              Relay RI - 711	   
June DiLorenzo, Commissioner				 	                              Marilee Arsenault 
John Fleming, Commissioner 					                              Executive Director

               
HOUSING CHOICE VOUCHER EXTENSION REQUEST FORM 
Under the Section 8 Housing Choice Voucher Program, participants have 60 days to find a suitable unit when they are 
first issued a voucher, or when they have moved out of an assisted unit. If you have not been able to locate a suitable 
unit within this timeframe, you may request an extension from the Housing Authority. If you wish to receive and extension, 
you must make the request in writing. Requests for an extension must be received at least seven (7) calendar days 
before the expiration date on your voucher, or your voucher transfer deadline. If you do not request an extension by this due date, your participation in the Section 8 Housing Choice Voucher Program will be terminated. 
PLEASE USE THIS FORM BELOW TO REQUEST ADDITIONAL TIME TO SEARCH FOR A UNIT. 
	Name of Head of Household: ___________________________________Tenant Id: _____________________ 
	Home Address:_______________________________________ Mailing Address: _______________________
     ________________________________________Phone Numbers: Home: ____________________________	
    Cell: ____________________Work: _________________ Email Address: _____________________________ 
Please state the reason that you have not been able to locate a suitable unit within 60 days: 
_____________________________________________________________________________________
_____________________________________________________________________________________

IMPORTANT: Please include a copy of your Housing search contact list with this request. 
When the Housing Authority receives your Housing Choice Voucher Extension Request Form, we will evaluate your 
request. Extension are not automatically granted. If your request is denied and you have not submitted an RTA to the 
Housing Authority by the expiration of the voucher, or your voucher transfer deadline, your participation in the Section 8 
Housing Choice Voucher Program will be terminated. 
If the Housing Authority approves your request, you will receive up to thirty (30) Additional days to find suitable Housing. 
However, if an extension is granted, in addition to submitting an RFTA on or before the last day of your extension period, 
your new unit must pass inspection and your lease must begin within seven (7) calendar days of your extension deadline. 
Therefore, even if you submit an RFTA within the designated timeframe, if the unit is not available for inspection, does not 
pass inspection, or if any other factors delay the beginning of your lease more than seven (7) calendar days past your 
extension period, you will lose your Housing assistance and be terminated from the program. Therefore, we strongly urge 
that you find a unit and submit an RFTA as soon as possible. 

   ___________________________       __________________________     _____________  
Print Head of Household Name 

Signature of Head of Household 

Date 

    Extension Expiration Date:__________________________

    PHA Representative:________________________________________     Date:_________________________