Forms

to search for HUD forms pertaining to housing authority programs
https://www.hud.gov/program_offices/administration/hudclips/forms/hud5

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

 

ADMINISTRATIVE MISCELLANEOUS FORMS

Agenda for Board Meeting – Example
Bank Draft for Rent 1
Bank Draft for Rent 2
Bid Documents (HUD 5369 – HUD 5370)
Budget Approval Resolution
Certificate of Authority
Citizen Input (Board Meeting)
Conflict of Interest Waiver
Depository Agreement (HUD Form)
Direct Deposit Form
Income Targeting Worksheet
Labor Reporting Form HUD 4710
Labor Review Forms
Months Expendable Net Assets Ratio (MENAR) Tracker (for FASS)
Oath of Office Form / Certificate of Appointment – Commissioners
Physical Needs Assessment Form (HUD 52832)
PILOT Computation Form
PILOT Waiver Resolution
Public Information Act Access Option Form
Resolutions – Generic format
Utility Allowances – Sec 8 Consumption Estimate Worksheet
Utility Allowances – Sec 8 Consumption Data
Utilization Worksheet – Housing Choice Voucher Program
Write-Offs – Resolution for

APPLICATION PACKAGE RELATED FORMS

Pre-Application for Public Housing
Pre-Application for Section 8
Application for HCV (THA)
Application for HCV
Application for Public Housing (THA)
Application for Public Housing 2
Application for Public Housing 3
Application (Spanish)
Application Renewal Form
Applicant/Tenant Certification Eng
Applicant/Tenant Certification Span
Application Update
Application Renewal
Application Rejection
Contact Person or Organization (optional form for applicants)
Citizenship Verification Information
Citizenship, Declaration of (Section 214 )
Citizenship, Declaration of  (SP)
Criminal Check Release
Eligibility Criteria – Public Housing Sample
Release of Information (Form 9886) (Privacy Statement)
Release of Information – General
Reasonable Accommodation Notice
Social Security Number – Application for Card
Suitability Criteria
Things You Should Know     Cosas Que Debe Saber
Waiting List Policy Acknowledgment
Waiting List Update Package

VERIFICATION FORMS

Adjusted Income Worksheet
Allowance/Deduction Checklist
Annual Income Checklist
Annual Income Worksheet
Asset Checklist
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
Caretaker Verification (THA)

Child Support Verification (AG Form)
Childcare Costs Verification – Day Care Center
Childcare Costs Verification – Babysitter
Childcare Expenses – Non-reimbursement
Comply w/Lease Verification

Detox Center – Authorization to Release Information
Disability -Certification for Reimbursement
Disability – Verification of
Disability Assistance Need Certification
Employment Verification
Fostercare Verification
Fulltime Student Verification
Home Visit Checklist
Imputed Welfare Income Verification
Income from Contributions Worksheet
Interagency Tenant Cross Check
Landlord Verification
Medical and Disability-Related Information Certification

Medical Costs Verification
Military Income Verification
No Additional Adults Certification
Pensions/Annuities Verification
Prescription Verification
Release of Information (Form 9886) (Privacy Statement)
Rental–No History
Self Employment Verification
Self Certification Form – Applicant/Resident
Service/Emotional Support Animal Verification Form
Social Security Income Certification
Special Unit Requirement Verification
Special Unit Requirements Questionnaire
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
Telephone Interview Form
Under $200 Income Worksheet
Unemployment Benefits Verification
Unemployment Insurance Release – Texas Workforce Commission
Utilities – Verification of
VA Benefits Verification
Verification Update – Third Party
Worker’s Comp Verification
Zero Income Checklist
Zero Income Checklist (Spanish)
Zero Income – Self Certification

REASONABLE ACCOMMODATION FORMS

Reasonable Accommodation Notice
Request for a Reasonable Accommodation
Certification of Need for a Reasonable Accommodation

Reasonable Accommodation Agreement for Residents
Reasonable Accommodation Agreement for Applicants
Resident’s Reasonable Accommodation/Structural Modification Notice
Applicant’s Reasonable Accommodation/Structural Modification Notice

SCREENING

Police Record Verification – City
Police Record Verification – Sheriff

Certification for Assistance to an Applicant Complying with Lease Terms
Checklist:  Ability to Comply with Lease Terms
Home Visit
Utility Verification
Debts Owed PHAs (HUD Form)

EMPLOYMENT RELATED FORMS

Confidentiality Agreement 1
Confidentiality Agreement 2
Earned Income Tax Credit Notice to Employees 
Employee Correction 
Counseling
Employee Evaluation sample 1
Employee Evaluation sample 2
Employee Evaluation (ED)
Employee Evaluation Guidance
Employment Application
Employment– Auth for Criminal/Credit Check
Pay for Performance Evaluation Form
Personnel Action Form
Sick Leave Transfer – Request for

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)

LEASE PACKAGE FORMS

Community Service Certification (Initial) (THA)
Community Service Certification (Recert) (THA)
Community Service Exemption Certification (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)
Deceased Release (in case of death of resident)
Deceased/Ill Release of Property/Sec Dep.
Deceased – Indemnification Agreement (disposition of property on death of resident)
Domestic Violence Notification of Rights
Domestic Violence Certification Form
Domestic Violence Sample Emergency Transfer Plan
Domestic Violence Transfer Request
Emergency Contact for Resident
Extermination Policy Acknowledgment
Fair Housing Notice
Lawncare Agreement
Lead Based Paint Brochure Certification
Lead Based Paint Certification (EBL)
Lead Disclosure Form Eng
Lead Disclosure Form Span
Lease  (HCV sample)
Lease – THA
Live-in Aide Agreement
Minimum Rent Waiver Information
Minimum Rent Waiver Request
Notice of Right to Grievance – Resident
Parent Responsibility Form
Pet Policy Certification
PHA Certification for Tenant File
Renters’ Rights Notice
Smoke Detector Certification
Smoke Detector Certification (Spanish)
Smoke Free Policy Violation – Sample First Notice
Smoke Free Policy Violation – Sample 2nd Notice
Vehicle Registration (Eng, Sp)

OCCUPANCY-RELATED MISCELLANEOUS FORMS

Accessibility Checklist (Section 504)
Application for Recertification
Complaint Form – Resident
Consent to Enter Resident Unit
Earned Income Disallowance/Disregard Worksheets
Final Notice – Family Information Needed
Forcible Entry and Detainer form (evictions)
Gas, Authorization for New Service
Informal Hearing Summary
Inspection Form 1
Inspection Form 2
Inspection Form – Move-In/Move-Out 1
Inspection Form – Move-In/Move-Out  2
Interim Adjustment to Income Denial
Maintenance Checklist
Move Out Instructions
Pest Control – Emergency Waiver
Police Report
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 (HCV)
Rent Reasonableness Survey :(HCV)
Re-certification Packet (Spanish)
Re-examination Form
Re-examination Update Form
Repayment Agreement 1
Repayment Agreement 2
School Information Release Form
Tenant File Checklist – Public Housing
Tenant File Checklist – HCV
Tenant File Flap System
Threat Assessment
Transfer Approval
Utility Consumption Release (info for Utility Allowance Prep)
Utility Reimbursement Paid to Utility Co. – Authorization Form
Vacancy Tracking Form
Vacated Unit Report
VAWA forms (see VAWA Policy)
Visitor Registration
Water, Authorization for New Service
Work Order Tracking Form

TAX EXEMPTION FORMS

Gas Tax Refund Request, Compt Letter
Hotel Tax 
For documentation, go here , select “Taxpayer Number Search” , then enter       32002699570
Rental Car
Sales Tax
Vehicle Tax Reimbursement

MISCELLANEOUS FORMS

Housing Choice Voucher forms
HQS Inspection Forms (52580 and 52580A)
Identity Theft Documentation
Portability Log Form
Power of Attorney
Release of Information Packet (Multifamily) HUD 9887
Eligibility Criteria/Tenant Selection – Multifamily Sample