Agency Sign-Up

Please complete the information below to request an account on the PHUD$ website.

Choose Login

User Name* 
Password* 

Enter Agency Info

Agency Name* 
Contact Name* 
Contact Email* 
Contact Phone* 
County Name* 
State* 
Region* 
Region 1: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont
Region 2: New Jersey, New York, Puerto Rico, Virgin Islands
Region 3: Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia
Region 4: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee
Region 5: Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin
Region 6: Arkansas, Louisiana, New Mexico, Oklahoma, Texas
Region 7: Iowa, Kansas, Missouri, Nebraska
Region 8: Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming
Region 9: Arizona, California, Hawaii, Nevada, American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Marshall Islands, Republic of Palau
Region 10: Alaska, Idaho, Oregon, Washington
Population Served* 
Total Agency FTE* 
Agency Revenues* 
Jurisdiction Type* 
Level of Governance* 
Scope of Agency Services*