Lynwood, CA · Los Angeles County

No notary required

TBRA Preliminary Application

Lynwood residents use this preliminary application to request screening for the Tenant-Based Rental Assistance Program and provide household, income, and qualifying-population information.

What this form is

This preliminary application screens Lynwood households for the Tenant-Based Rental Assistance Program; submitting it does not guarantee approval or reserve funding. It asks about household eligibility, qualifying population, household members, and income, and includes a landlord participation form. The city says not to include supporting documents with this form; selected households will be asked to submit a full application and required documentation.

Who needs it

Lynwood renters seeking TBRA screening should complete the form if they meet the listed residency, income, lease, and other eligibility conditions.

How to submit it

Submit the completed form to the Community Development Department, Attn: Michael Ibarra – Tenant Based Rental Assistance Program, 11330 Bullis Road, Lynwood, CA 90262, or email [email protected]. Do not include supporting documentation with this form.

About notarization

This document is signed without a notary; the applicant and property owner sign and date their sections, and no notarized or sworn attachment is identified.

How to submit this form

  1. 1

    Download The Form

    Download the TBRA Preliminary Application for Lynwood.

  2. 2

    Complete All Pages

    Complete all pages and provide the requested applicant, qualifying-population, household, and income information.

  3. 3

    Have Required Signers Sign

    Sign and date the applicant section; the property owner signs and dates the landlord participation section.

  4. 4

    Submit To The City

    Send the form to the Community Development Department by mail or email. Do not attach supporting documentation.

Frequently asked questions

Do I need a notary for the TBRA Preliminary Application?
No. This document is signed without a notary; the applicant and property owner sign and date their sections, and no notarized or sworn attachment is identified.
How do I submit the TBRA Preliminary Application?
Submit it to the Community Development Department, Attn: Michael Ibarra – Tenant Based Rental Assistance Program, at 11330 Bullis Road, Lynwood, CA 90262, or email [email protected]. Do not include supporting documentation with this form.
Does submitting this form guarantee rental assistance?
No. The document says submission does not guarantee approval or commit funds. Funding is limited, and eligibility and supporting documents must be verified before funds are reserved.
What information does the preliminary application ask for?
It asks about qualifying population, applicant contact details, household members, citizenship or resident status, and annual income. It also includes a landlord participation form.

Need something notarized?

This TBRA Preliminary Application doesn’t need a notary — but if you have another Lynwood form that does, a commissioned online notary can help.