Forms

for forms HUD has translated into other languages, go to
https://www.hud.gov/offices/fheo/lep.xml

 

Adjusted Income Worksheet
Agenda for Board Meeting – Example
Allowance Checklist
Annual Income Checklist
Annual Income Worksheet
Applicant/Tenant Certification Eng
Applicant/Tenant Certification Span
Application for HCV (THA)
Application for Public Housing (THA)
Application for Public Housing 2
Application for Public Housing 3
Application (Spanish)
Application Renewal Form

Assets

Asset Divestiture Data-gathering Worksheet
Asset Divestiture Verification
Asset Income Worksheet
Asset Income Verification
Asset Income Verification 2
Asset Questionnaire
Asset Questionnaire Spanish

Athletic Scholarship 
Attendant Care Verification
Auxiliary Apparatus – Employer’s Certification of need for Auxiliary Apparatus for Disabled
Auxiliary Apparatus – Verification of Cost of Auxiliary Apparatus for Disabled
Bank Draft for Rent 1
Bank Draft for Rent 2
Bid Documents (HUD 5369 – HUD 5370)
Budget Approval Resolution
Certificate of Authority
Child Support Verification (AG Form)
Childcare Costs Verification – Babysitter
Childcare Costs Verification – Day Care Center
Citizen Input Form (Board Meetings)
Citizenship – Documentation of Status
Community Service Certification (Initial) (THA)
Community Service Certification (Recert) (THA)
Community Service Exemption Certification (THA)
Caretaker Verification (THA)
Community Service Record and Certification of Activities (THA)
Community Service Tracking Form (THA)
Community Service Non-Compliance Notice (THA)
Community Service Work-Out Agreement (THA)

Complaint Form – Resident
Confidentiality Agreement 1
Confidentiality Agreement 2
Conflict of Interest Waiver
Contact Person or Organization (optional form for applicants)
Contact for Emergencies
Criminal Check Release
Criminal Check form (SP)
Criminal History Request Record
Debts Owed PHAs (HUD Form)
Deceased Release (in case of death of resident)
Deceased/Ill Release of Property/Sec Dep.
Declaration of Section 214 (Citizenship) Status
Declaration of Citizenship Status (SP)
Depository Agreement (HUD Form)
Detox Center – Authorization to Release Information
Direct Deposit Form
Disability -Certification for Reimbursement
Disability – Checklist for Expenses Verification
Disability – Verification of
Disability – Verification of 2
Disability Assistance Need Verification
Disability Assistance Need Verification 2
Domestic Violence Notification of Rights
Domestic Violence 
Certification Form
Domestic Violence Sample Emergency Transfer Plan
Domestic Violence Transfer Request
Earned Income Disallowance/Disregard Worksheets
Earned Income
 Tax Credit Notice to Employees
Eligibility
 Criteria – Public Housing Sample
Eligibility Criteria/Tenant Selection – Multifamily Sample
Employee Correction Counseling
Employee Evaluation Form – Executive Director 
Employee Evaluation Form 1 
Employee Evaluation 
Form 2
Employee Evaluation
 Guidance
Employment Application
Employment– Auth for Criminal/Credit Check
Employment Verification
Environmental Forms

PHA Project Description (HUD 53245)
ER for Activity/Project that is Exempt or Categorically Excluded Not Subject to 58.5
ER for Activity/Project that is Categorically Excluded Subject to  58.5
Environment Review Partner Submission
Environmental Assessment Findings
Notice of Finding No Significant Impact
Notice of Intent to Request Release of Funds
Request for Release of Funds and Certification
Authority to Use Grant Funds
ER Record Related Federal Laws and Authorities Worksheets (see Formats)
ER Record Related Federal Laws and Authorities Partner Worksheets (see Formats)

Extermination Policy Acknowledgement
Fair Housing Notice
Forcible Entry and Detainer form (evictions) 
Fostercare 
Verification
Fulltime Student Verification
Gas, Authorization for New Service
Hardship Request
Home Visit Checklist
Housing Choice Voucher forms
HQS Inspection Forms (52580 and 52580A)
Identity Theft Documentation
Income from Contributions Worksheet
Income Targeting Worksheet
Indemnification Agreement
Informal Hearing Summary
Inspection Form 1
Inspection Form 2
Inspection Form 3
Inspection Form – Move-In/Move-Out 1
Inspection Form – Move-In/Move-Out  2
Interagency Tenant Cross Check
Labor Reporting Form HUD 4710
Labor Review Forms
Landlord Verification Form
Lawncare Agreement
Lead Paint Brochure Certification
Lead Paint Certification
Lead Disclosure Form Eng
Lead Disclosure Form Span
Lease – Ability to Comply
Lease – Certification for Assistance to An Applicant Complying with Lease Terms
Lease  (HCV sample)
Lease – THA
Lease
 documents
Maintenance Checklist
Medical Costs Verification
Military Income Verification
Minimum Rent Waiver
Minimum Rent Waiver Request
Months Expendable Net Assets Ratio (MENAR) Tracker (for FASS)
Move Out Instructions
No Additional Adults Certification
Noncitizen – Certification of Noneligible Immigrant Status
Notice of Right to Grievance – Resident
Oath of Office Form / Certificate of Appointment – Commissioners
Parent Responsibility Form
Pensions/Annuities Verification
Personnel Action Form
Pest Control – Emergency Waiver
Pet Policy Certification
PHA Certification for Tenant File
Physical Needs Assessment Forms
PILOT Computation Form
PILOT Waiver Resolution
Police Record Verification – City
Police Record Verification – Sheriff
Police Report
Portability Log Forms
Power of Attorney
Pre-Application for Public Housing
Pre-App (Spanish)
Prescription Verification
Privacy Notice (HUD) HUD 9886
Public Information Act Access Option Form
Race and Ethnic Reporting Form (HUD-27061)
Reasonable Accommodation (Section 504) (Accessibility) Checklist
Reasonable Accommodation Notice
Re-certification Packet (Spanish)
Re-examination Form
Re-examination Update Form
Release of Information (Privacy Act) Form HUD 9886
Release of Information Packet (Multifamily) HUD 9887
Rent Calculation – Pro-Rated Public Housing- for Mixed Families (3/16)
Rent Calculation – Pro-Rated Housing Choice Voucher – for Mixed Families
Rent Calculation – Public Housing Worksheet
Rent Calculation – Housing Choice Voucher Worksheet
Rent Choice Certification
Rent Reasonableness Certification
Rent Reasonableness Survey
Rental–No History
Renters’ Rights Notice
Repayment Agreement 1
Repayment Agreement 2
Resolutions – Generic format
School Information Release Form
Screening Forms
Self Employment Verification
Self Certification Form – Applicant/Resident
Sick Leave Transfer – Request for
Smoke Detector Certification
Smoke Detector Certification (Spanish)
Social Security Number – Application for Card
Special Unit Requirement Verification
Student Eligibility – Section 8

Student Questionnaire for Eligibility             
Student Certification of Dependent Status
             
Student Financial Aid Verification

Parent Certification – Income

Student Status Verification
TANF Verification
Tax Exemption Forms

Gas Tax Refund Request, Compt Letter
Hotel Tax 
Documentation, Comptroller Letter, Search 32002699570
Hotel Tax – Louisiana
Rental Car
Sales Tax
Vehicle Tax Reimbursement

Tax Return Request Form (IRS)
Telephone
 Interview Form
Tenant File Checklist – Public Housing
Tenant File Checklist – HCV
Tenant File Flap System
Threat Assessment
Transfer Approval
Under $200 Income Worksheet
Unemployment Benefits Verification
Unemployment Insurance Verification – Texas Workforce Commission
Utilities – Verification of
Utility Allowances – Sec 8 Consumption Estimate Worksheet
Utility Allowances – Sec 8 Consumption Data
Utility Consumption Release
Utility Reimbursement Paid to Utility Co. – Authorization Form
Utilization Worksheet – Housing Choice Voucher Program
VA Benefits Verification
Vacancy Tracking Form
Vacated Unit Report
VAWA forms (see VAWA Policy)
Vehicle Registration (Eng, Sp)
Verification Update – Third Party
Visitor Registration
Wait List Acknowledgment
Water, Authorization for New Service
Worker’s Comp Verification
Work Order Tracking Form
Write-Offs – Resolution for
Zero Income Checklist
Zero Income Checklist (Spanish)