Client Phone #:
Case Worker Name:
Case Worker Phone #:
Homeless Incentive Program
Submit to: firstname.lastname@example.org
All eligible clients must be applicant individuals/families from one of the Housing Authority of City of Los Angeles (HACLA) homeless programs. Free delivery in the Los Angeles
area, however there is a $75.00 charge for deliveries to Antelope Valley and Lancaster that will be deducted from the $750.00 maximum order amount. Request for essential
furnishings does not guarantee eligibility. Color and product subject to change upon availability. Approximate delivery is between 2-3 weeks.
Move-in: Essential Furnishing Assistance up to $750.00 (Including Tax).
Refrigerator, Small, 4.5 cu. ft.
Living Room Set (couch, end, coffee, lamp)
2-PC Sectional Set (Compact Size)
Upholstered Bed Frame W/ Matt, Twin
Upholstered Bed W/ Matt, Full
Upholstered Bed W/ Matt, Queen
Tax (9.50%) =
HOUSING AUTHORITY OF THE CITY OF LOS ANGELES
2600 Wilshire Blvd, Los Angeles, California 90057
(213)252-2500 ⦁ www.hacla.org