BIA Form 6407 PDF Details

All questions in this application must be answered. The requested information is self-explanatory.

Earned income: provide signed copy of SF-1040 (income tax return), W-2 forms, wage stubs, etc. for verification.

Unearned income: provide check stubs, statements, individual Indian Money (IIM) ledgers, etc. for verification.

Family: list all other persons living in household on a permanent basis. If you need more space, use a blank sheet of paper.

House location: location of the house to be repaired, renovated or constructed. Give address and detailed directions to this house.

Certification: read this certification carefully before you sign and date your application. Sign in ink.

QuestionAnswer
Form NameBIA Form 6407
Issuing AgencyBureau of Indian Affairs (BIA), U.S. Department of the Interior
ProgramHousing Improvement Program (HIP)
Form Length4 pages
Fillable?Yes
Fillable fields195
Avg. time to fill out12 min
Issued01/01/2019
Edition01/01/2019
Issuing agencyUnited States Department of the Interior, Bureau of Indian Affairs
Matches the agency's fileYes, checked October 9, 2026
Other namesBIA Form 6407, Form 6407, BIA 6407, 6407, Housing Assistance Application, BIA Housing Improvement Program application
Official sourceBIA Form 6407 (Rev 01/01/2019), United States Department of the Interior, Bureau of Indian Affairs