Landlord Form
This Landlord Information Form is to be filled out by landlord or the management company the applicant is renting from.

Dear Landlord/Management Company:

This form is for our office use only to make contact with you to get further documentation (i.e. W-9 Form).

The W-9 Form is mandatory in order to receive a check for payment for each vendor. The purpose of this form is to document or update information for all vendors (i.e. landlords) in our system. The information will only be used for tax purposes if the vendor receives more than $600 from the Wichita and Affiliated Tribes within one year. The information provided on this form and the W-9 form will not be shared and will be considered
confidential.

For any questions you may have, please feel free to contact our office at 405-247-8620 or at:
Sheena Ngu, Director: 405-247-8623
Cassie Williams, Caseworker: 405-247-8666

Landlord/Management Company Information

As listed on the W-9
Point of Contact*
Mailing Address*
Where check is to be mailed to
Please upload your W-9.
Accepted file types: pdf, Max. file size: 2 MB.
This field is for validation purposes and should be left unchanged.