This is an attachment to the FASTForm “Notice Overpayment”, but if the resident does not complete the attachment, this is a separate form that can be used for the same purpose. When a resident has paid more rent than required, the owner/agent must be able to document that the resident was offered the opportunity to choose whether to receive a refund or a rent credit.
Application IR PRAC New Adult (Pre HOTMA)
$75
When a family receiving PRAC assistance wishes to add a new adult, that adult must be eligible and must pass certain screening criteria. Use this application to gather required and necessary information from the new adult. This Pre-HOTMA application does not ask HOTMA required questions related to prior year income or questions related to Assets – specifically tax refunds/tax credits.
Application IR PRAC New Adult HOTMA
$75
Updated for HOTMA and/or TRACS 2.0.3.A When a family receiving PRAC assistance wishes to add a new adult, that adult must be eligible and must pass certain screening criteria. Use this application to gather required and necessary information from the new adult. This HOTMA application asks required questions related to prior year income and Assets – specifically tax refunds/tax credits. We have also removed questions about assets that are excluded under HOTMA including retirement accounts, Special Needs Trusts and Trusts controlled by a person who does not live in the unit.
Application IR S8 New Adult (Pre HOTMA)
$75
When a family receiving Section 8 assistance wishes to add a new adult, that adult must be eligible (not income eligible) and must pass certain screening criteria. Use this application to gather required and necessary information from the new adult. This version does not ask HOTMA required questions related to prior year income or questions related to Assets – specifically Real Property Suitable for Occupancy and tax refunds/tax credits.
Application IR S8 New Adult HOTMA
$75
Updated for HOTMA and/or TRACS 2.0.3.A When a family receiving PRAC assistance wishes to add a new adult, that adult must be eligible (not income eligible) and must pass certain screening criteria. Use this application to gather required and necessary information from the new adult. This HOTMA application asks required questions related to prior year income and Assets – specifically Real Property Suitable for Occupancy and tax refunds/tax credits. We have also removed questions about assets that are excluded under HOTMA including retirement accounts, Special Needs Trusts and Trusts controlled by a person who does not live in the unit.
Checklist EIV 120 Day Post Move In HOTMA
$20
Updated for HOTMA and/or TRACS 2.0.3.A Owner/agents must not implement HOTMA EIV Changes until HOTMA compliant site software is available and implemented.Use this checklist to document review of EIV reports 120 days after the submission of a Move-in or an IR adding a new member. Review of the Income Discrepancy Report has been removed. Previous to implementation of HOTMA, the requirement is to review these reports, including the Discrepancy Report, within 90 days of submitting a Move-in Certification/Initial Certification or an IR adding a new member.
Checklist EIV 90 Day Post Move In (Pre HOTMA)
$20
Previous to implementation of HOTMA, the requirement is to review EIV Income Reports within 90 days of submission of a Move-in/IC or an IR adding a new member. Use this checklist to document review of EIV reports within 90 days of submitting a Move-in/IC or an IR adding a new member. Owner/agents must review the Income Report and the Income Discrepancy Report.
Checklist EIV AR/IR (Pre HOTMA)
$20
Pre-HOTMA, review of the EIV Income Reports is required at AR and IR, regardless of the reason for the IR. Owner/agents are required to review the EIV Income Discrepancy Reports. This checklist includes the EIV Discrepancy Workbook.
Checklist EIV Recertification
$20
Updated for HOTMA. With the implementation of HOTMA, use of EIV Income Reports at IR will be optional. In addition, use of the EIV Income Discrepancy Report will be optional. Use this checklist to document review of EIV reports at AR and IR. Sites should not implement new EIV rules until HOTMA compliant site software is available.
Checklist EIV Recertification HOTMA
$20
Updated for HOTMA and/or TRACS 2.0.3.A Owner/agents must not implement HOTMA EIV Changes until HOTMA compliant site software is available and implemented.With the implementation of HOTMA, use of EIV Income Reports at IR will be optional. In addition, use of the EIV Income Discrepancy Report is not required until HUD updates the algorithm used to identify a discrepancy. Use this checklist to document review of EIV reports at AR.
Checklist File IR
$20
HUD does not provide a “HUD approved” File Checklist. This is a sample. It should be edited to conform to your management company’s policy and procedure.
Citizen Owners Notice 1 w Attach
$20
This FASTForm combines the forms necessary to determine noncitizen eligibility at application. Included are "Owner's Notice 1," "Notice of Requirement to Determine Noncitizen Eligibility," "Citizen/Noncitizen Declaration," "Family/Owner Summary" and the "Consent for Verification" combined as one document.
Consent Contact Electronic
$20
This document can be used to obtain alternative contact information for each resident. Alternative contact information could be cell phone numbers, email addresses, etc. This allows you to email or text information to each resident and to provide documents in electronic format versus paper except as required by regulation..
Lease Addendum Live In Aide PRAC
$50
Live-in Aide Addendums are strongly recommended by HUD. Any new addendum must be approved by HUD before you begin using it. If you wish to implement a Live-in Aide Addendum, this version may assist you in developing your own version. This IS NOT a pre-approved addendum. You must obtain approval before implementing.
Notice Citizen Eligible Applicant
$20
Use this notice to advise an applicant that he/she/they are eligible based on the Noncitizen Rule. HUD does not provide a “HUD approved” Citizenship Declaration, but a sample is provided in HUD Handbook 4350.3 Revision 1, Exhibit 3-11. This form was created using the sample as a model.
Notice Citizen Eligible Resident
$20
Use this notice to advise a resident that he/she/they are eligible based on the Noncitizen Rule. HUD does not provide a “HUD approved” Citizenship Declaration, but a sample is provided in HUD Handbook 4350.3 Revision 1, Exhibit 3-10. This form was created using the sample as a model.
Notice Citizen Ineligible Applicant
$20
Use this notice to advise an applicant that he/she/they are not eligible based on the Noncitizen Rule. HUD does not provide a “HUD approved” Citizenship Declaration, but a sample is provided in HUD Handbook 4350.3 Revision 1, Exhibit 3-11. This form was created using the sample as a model.
Notice Citizen Ineligible Resident
$20
Use this notice to advise a resident that he/she/they are not eligible based on the Noncitizen Rule. HUD does not provide a “HUD approved” Citizenship Declaration, but a sample is provided in HUD Handbook 4350.3 Revision 1, Exhibit 3-10. This form was created using the sample as a model.
Notice Hardship Exemption Minimum Rent Approval
$20
Section 8 Only. This Notice is used to inform residents that their request for a Hardship Exemption related to the Section 8 $25 Minimum Rent has been approved. This Notice also explains the resident's responsibilities.
Notice Hardship Exemption Minimum Rent Denial
$20
Section 8 Only. This Notice is used to inform residents that their request for a Hardship Exemption related to the Section 8 $25 Minimum Rent has been denied.
Notice Hardship Exemption Minimum Rent End
$20
Section 8 Only. This notice is used to inform residents that their S8 Minimum Rent Hardship Exemption related to the Section 8 $25 Minimum Rent is ending.
Notice Income Dispute Income Calculation
$20
Use this notice to acknowledge that a resident does not agree with the income calculation. This form advises the resident that they must file a dispute with the CA or HUD but the owner/agent cannot change regulations. The resident is still required to complete required paperwork and provide signatures in order to continue to receive housing assistance.
Notice Income SS Fairness Act
$20
This notice is not required but can be used to advise residents of changes to SS income resulting from the SS Fairness Act. This notice serves as a reminder that residents are required to report if any change totals $200 or more per month.
Notice IR IRDelayed
$20
Use this notice to advise residents, who have reported an income decrease, that you intend to exercise your option to delay completion of the IR because you have credible evidence that the income will be fully or partially restored within 30 days.
Notice IR No IR Required
$20
Updated for HOTMA. Use this notice when a resident reports a change, but no Interim Certification is required.
Notice IR No IR Required Less Than 10 Percent
$20
New Form To Be Implemented When HOTMA is Implemented. This Notice is provided to residents who have reported an income change or a change to deductions, but the change to Adjusted Income is less than 10%. Owner/agents should not create an IR if the resident is reporting a change to income or deductions that results in an increase of less than 10% of Annual Adjusted Income. Owner/agents may develop a policy to opt out of creating IRs if the resident is reporting a change to income or deductions that results in a decrease of less than 10% of Annual Adjusted Income. While not required, it is a good idea to have written documentation in the file showing you notified the resident that no IR is required, after he/she reported the change. HOTMA Changes to IR requirements should not be implemented until HUD provides additional clarification and HOTMA compliant site software is available and implemented.
Notice IR Requirement to Sign 50059
$20
Use this notice to advise residents of their requirement to sign the IR or face termination.
Notice IR Requirement To Sign Death of Member
$20
Use this notice when a member of the household passes away and an IR is created to remove the member. This Notice provides information about the amount and effective date of the new rent. The notice also explains that failure to sign within the required timeframe will result in termination of assistance.
Notice IR Requirement to Sign New Job Alternate Verification
$20
Use this notice when a resident reports new employment but you are unable to conduct traditional verification because the employer will not respond and the resident cannot provide required documents. Usually, this Notice is used when the resident has not worked long enough to receive the minimum number of pay stubs. The owner/agent can use available pay stubs but will have to document the file and the resident will have to self-certify. Owner/agents should refer to HH 4350.3 Paragraph 5-13 through 5-18. This Notice advises the resident that they have the option to return when they have the appropriate paperwork and the owner/agent will re-assess annual income.
Notice IR Requirement To Sign PRAC Death of Member
$20
Use this notice when a member of the household passes away and an IR is created to remove the member. This Notice provides information about the amount and effective date of the new rent. The notice also explains that failure to sign within the required timeframe will result in termination of tenancy.
Notice IR Requirement To Sign Retroactive Rent Increase
$20
Use this notice to advise residents - who failed to report in a timely manner - that a retroactive rent increase is in effect. Residents have a limited time to report to the owner/agent and sign the new certification and arrange for return of the improper payment.
Notice Lease Violation Failure to Report a Change Employment or Income
$20
Use this notice to advise residents when you suspect that they have not disclosed a change in income. The notice must be in compliance with HH 4350.3 R1, Paragraph 7-12. This notice also contains information about the penalty for failure to report which includes termination of assistance and possible eviction.
Notice Lease Violation Failure to Report a Change Household Composition
$20
Use this notice to advise residents when you suspect that they have not disclosed a change to family composition. The notice must be in compliance with HH 4350.3 R1, Paragraph 7-12. This notice also contains information about the penalty for failure to report which includes termination of assistance and possible eviction.
Notice Lease Violation Failure to Report Change to Income SS Fairness Act
$20
This notice can be used for PRAC and non-PRAC projects. This notice is required when a resident fails to report a change to income in a reasonable amount of time as established by the owner/agent. Residents have 10 calendar days to report based on guidance provided in HH 4350.3 Paragraph 7-12. Failure to report will result in termination of assistance for all programs except PRAC. Failure to report will result in termination of tenancy for PRAC.
Notice Lease Violation Multiple Repayments
$20
Some owner/agents limit the number of repayment agreements. Use this notice when there is a second or subsequent improper payment and the owner/agent requires full repayment or eviction.
Notice Lease Violation Multiple Residences
$20
Use this Notice to let a family know that the owner/agent suspects that the resident family appears to have more than one home. This is a material lease violation and could result in termination of tenancy.
Notice Lease Violation Unauthorized Resident
$20
Use this notice to request a meeting when the owner/agent suspects that there is an unauthorized resident living in the unit.
Notice Lease Violation Unauthorized Resident Minor
$20
Use this notice to request a meeting when the owner/agent suspects that there is an undisclosed resident who is a minor living in the unit.
Notice Overpayment Rent
$20
Use this notice to advise residents when a correction indicates that they have paid too much rent and are entitled to a rent credit.
Notice Requirement to Sign 9887
$20
Use this notice to advise residents who are turning 18 of their requirement to sign HUD Form 9887/9887A. The HOH should be copied.
Notice Term Assist Missing Signatures
$20
Use this notice to advise residents that you are missing required signatures for a certification other than the AR certification. Do not use for PRAC. There is no termination of assistance for PRAC.
Notice Term Assist S8 Asset Restrictions
$20
New Form To Be Implemented When HOTMA is Implemented. Section 8 Only. Do not use if the owner/agent has implemented Total Non-enforcement. For owner/agents who will implement Enforcement or Limited Enforcement of the S8 Asset Restrictions, use this notice to advise residents that they are no longer qualified for Section 8 assistance based on Asset Restrictions. However, based on owner/agent policy, the OA is delaying termination of assistance for up to six months and allowing the resident to attempt to “cure” ineligibility. Note: Owner/agents may not implement this HOTMA change until HOTMA compliant site software is available and implemented.
Notice Term Assistance Deceased Tenant
$20
When a resident does not respond to requests for information related to the EIV Deceased Tenant Report, the owner agent must terminate assistance for all programs except PRAC. For PRAC, the penalty is termination of tenancy. This form provides the required notice of termination of assistance. Do not use for PRAC. There is no termination of assistance for PRAC.
Notice Term Assistance Fail to Meet
$20
Use this notice to notify residents of the intent to terminate assistance due to failure to reply to a request for a meeting. This is a generic form and can be used for many purposes. Notices of termination of assistance must be provided in compliance with HUD’s termination requirements set forth in HH 4350.3 R1, Chapter 8. Do not use for PRAC. There is no termination of assistance for PRAC.
Notice Term Assistance Fail to Respond
$20
Use this form when a resident has been notified of a requirement to report but the resident does not respond in the required timeframe. See HH 4350.3 Paragraph 7-12. The penalty is termination of assistance. Do not use for PRAC. There is no termination of assistance for PRAC.
Notice Term Assistance Ineligible Student
$20
Section 8 Only. Use this notice to inform a resident that a member is an ineligible student, and the family is no longer qualified for Section 8 assistance based on the Student Rule.
Notice Term Assistance No Eligible Members 202
$20
Use this notice when the qualifying member of a family living in a 202/8 or 202 PAC property leaves for a reason other than death and the remaining members are no longer eligible. Based on guidance provided in HH 4350.3 Paragraph 3-16, the remaining member may remain in the unit but must pay contract rent. Do not use for PRAC. There is no termination of assistance for PRAC.
Notice Term Assistance Noncitizen
$20
Use this notice when a resident no longer qualifies for subsidy because of a change in noncitizen eligibility. Do not use this form for a PRAC. PRAC residents are not subject to the Noncitizen Rule.
Notice Term Assistance Revoke Consent
$20
New Form To Be Implemented When HOTMA is Implemented. This form is used to terminate assistance when a family member revokes consent provided via HUD Forms 9887/9887A. The family is no longer eligible for assistance. Owner/agents must make sure this document language is consistent with TSP required language that explains the penalty for revoking consent. Use once HOTMA compliance site software is available and implemented and the new 9887/9887A is released. Do not use for PRAC. There is no termination of assistance for PRAC.
Notice Term Assistance S8 Asset Cap
$20
New Form To Be Implemented When HOTMA is Implemented. Section 8 Only. Do not use if the owner/agent has implemented Total Non-enforcement of the S8 Asset Cap. For owner/agents who have implemented Enforcement or Total Enforcement of the S8 Asset Cap. This Notice is provided to residents who have been notified that the net cash value of all family assets exceeds the current Asset Cap. This notice is sent after any exemption period established by the owner/agent’s policies which cannot exceed six (6) months
Notice Term Assistance S8 Real Property Rule
$20
New Form To Be Implemented When HOTMA is Implemented. Section 8 Only. Do not use if the owner/agent has implemented Total Non-enforcement of the S8 Real Property Rule. For owner/agents who have implemented Enforcement or Total Enforcement of the S8 Real Property Rule. This notice is provided to residents who have been notified that they are no longer eligible because they own Real Property Suitable for Occupancy, and the member has a right to sell such property. This notice is sent after any exemption period established by the owner/agent’s policies which cannot exceed six (6) months.
Notice Term Assistance S8 Student
$20
Section 8 Only. This notice is used when all members are ineligible students. Based on guidance provided in HH 4350.3 Chapter 3, the remaining member(s) may remain in the unit but must pay contract rent.
Notice Term Assistance Zero HAP
$20
Use this sample notice when a resident no longer qualifies for subsidy - usually because of an increase in income. Do not use this form for a PRAC or for a Component 1 PH to PBRA RAD.
Notice Term Ten Deceased Tenant
$20
Use this notice to advise remaining household members of their requirement to meet when a member appears on the Deceased Tenant Report.
Notice Term Ten Missing SSN
$20
When a resident adds a minor to a unit, the resident has 90 days to provide the SSN and adequate documentation to verify the SSN. An additional 90 days may be granted under certain conditions. Use this notice when the tenant fails to provide required SSN documentation. This Notice is strongly worded and provides required language necessary to facilitate termination of tenancy. Once HOTMA is implemented this notice will only be use for PRAC.
Notice Term Ten No Longer Qualified (Death)
$20
Use this notice when an adult passes away and the remaining family members do not meet the eligibility criteria outlined in HH 4350.3 Paragraph 3-16. This means there are no remaining adult family members who were part of the lease when the qualifying member passed away and no remaining members are of legal age to sign a lease. This notice is for use specifically for properties set aside for elderly or disabled families.
Notice Term Ten No Longer Qualified PRAC
$20
Use this Notice for 202 PRAC and 811 PRAC when a qualifying member of the household leaves for a reason other than death and no remaining members are eligible. In this case, the family may not remain in the unit. The owner/agent must provide 30 days’ notice.
Notice Term Tenancy Failure to Sign Repayment Agreement
$20
When an owner/agent discovers that a resident failed to fully and accurately report income and that resulted in an improper payment, the resident may enter into repayment. However, if a resident refuses to sign required documents, the owner/agent must terminate tenancy (all MFH programs). This notice provides the required language to terminate tenancy because residents failed to sign a repayment agreement.
Policy Noncitizen Rule
$100
This policy template outlines requirements for owner/agents who must implement HUD’s Noncitizen Rule.
Questionnaire IR
$75
Updated for HOTMA. This is a detailed questionnaire. The process, when using this questionnaire, is to have the HOH complete all of the questionnaire and each adult household member must complete appropriate sections but the document can be edited to allow for multiple family members to complete a single AR Questionnaire. Keep in mind that this IR questionnaire only asks about criteria that have changed since this is specific to the IR function. If the family has requested to add a new member, please see the IR Application.
Request Hardship Exempt Minimum Rent
$20
Section 8 Only. Minimum Rent applies only to the Section 8 program. Section 8 residents may use this form to Request a Hardship Exemption related to the $25 Section 8 Minimum Rent.
Request Hardship Exemption
$20
New Form To Be Implemented When HOTMA is Implemented. Hardships Exemptions Apply To All Multifamily Housing Programs. This request can be used by residents or applicants to request a Hardship Exemption related to deductions. Hardship Exemptions apply to all HUD MFH Programs
Request Interim Recertification (IR)
$20
This request can be used when residents wish to request an Interim Recertification (IR). The requirement is for all adults to complete the request so that the owner/agent may consider any pertinent changes to household composition, income or deductions. This request includes the IR Questionnaire.
S504 Coordinator Contact
$20
Use this form to post information or provide an electronic notification about your Section 504 Coordinator. You are required to assign a Section 504 Coordinator if you employ 15 or more people regardless of their locations or duties. See HH 4350.3 R1, Paragraph 2-29 for additional information.
Self Certification Anticipated Child
$20
This form can be used by a resident to self-certify the upcoming addition of a child as a result of pregnancy, adoption or fostering. Per HH 4350.3 family self-certifications must be notarized or witnessed.
Self Certification EIV Employment/Income Accuracy
$20
This form is used when the EIV Income Report includes unknown information about Employment. Per HH 4350.3 Paragraph 5-13, family self-certifications must be notarized or witnessed.
Self Certification Income Irregular Income
$25
Updated for HOTMA. The RBD EIV Policy Template allows owner/agents to use historical information in EIV to estimate income when a resident has irregular income. With HOTMA, if EIV is used to verify income, the resident must also self-certify. Please note that, owner/agents should not implement HOTMA changes to the use of EIV until HOTMA compliant site software is available and implemented.
Self Certification Income No 3rd Party Emp
$20
The form is used to document applicant’s response to inquiries about new employment when the employer will not respond to verification requests and the tenant cannot provide the required documentation and there is no appropriate income information in EIV.
Self Certification Income Self Employment Ride Hailing
$20
Use this form to gather information necessary to verify self-employment when a resident or applicant works for a Ride Hailing Service. Per HH 4350.3 Paragraph 5-13, family self-certifications must be notarized or witnessed.
Self Certification Joint Custody
$20
This form is used when two families share custody of one child AND BOTH FAMILIES RECEIVE HUD HOUSING ASSISTANCE. This form helps property managers gather the information needed to correctly calculate the assistance payment including the percentage of time the child lives in your unit, unearned income and appropriate deduction information.
Self Certification Need for Hardship Exemption
$20
Use this form to document a residents request for your to waive the $25 minimum rent. Section 8 only.
Self Certification New Employment
$20
The form is used to document residents' response when there is new employment, the employer will not respond to verification requests and the resident does not have proper documentation (not enough pay stubs). This advises the resident that the owner/agent will not delay IR. Per HH 4350.3 Paragraph 5-13, family self-certifications must be notarized or witnessed.
Self Certification No SSN (Pre HOTMA)
$25
Anytime a member cannot provide an SSN or adequate documentation to verify the SSN, owner/agents should advise the member of the requirements. This form can be used to communicate HUD's rule. This is very important when a minor under the age of six is added to a household because the family has 90 days to provide the SSN and adequate documentation to verify the SSN. Failure to do so will result in termination. Per HH 4350.3 Paragraph 5-13, family self-certifications must be notarized or witnessed. This Pre-HOTMA version calls for termination of tenancy when required SSNs are not produced.
Self Certification No Third Party Employment/Income Change
$20
Use this self-certification when a resident’s employment changes or when income changes (such as a new bonus). Generally, this is used when the resident receives some sort of bonus or one-time payment.
Self Certification of Employment Income New Employment
$20
The form is used to document residents' response when there is new employment, the employer will not respond to verification requests and the resident does not have proper documentation (not enough pay stubs). This advises the resident that the owner/agent will not delay IR.
Self Certification Real Property
$20
New Form To Be Implemented When HOTMA is Implemented. Section 8 only. Under HOTMA, Section 8 residents must disclose if they own Real Property Suitable for Occupancy that a Member Has a Right to Sell. If so, an applicant family is not eligible to receive Section 8 housing assistance. There are some exceptions. For owner/agents implement Total Non-enforcement of the Section 8 Asset Restrictions, this rule does not apply to existing assisted residents. If an owner/agent is implementing Enforcement or Limited Enforcement of the Section 8 Asset Restrictions, then this rule will apply to existing assisted residents. If a resident or applicant owns real property but feels they are exempt under the rules, this form can be used to obtain self-certification and other information about the exemption. Eligibility review based on the Section 8 Asset Restrictions (Asset Cap and ownership of Real Property) are mandatory at application. Owner/agents must decide whether or not to enforce these restrictions after move-in
Self Certification Remove Adult Member
$20
Use this form to document a resident’s request to remove an adult from the lease and the 50059. Per HH 4350.3 Paragraph 5-13, family self-certifications must be notarized or witnessed.
Self Certification Rent Credit
$20
This is an attachment to the Notification of Rent Credit, but if the resident does not complete the attachment, this is a separate form that can be used for the same purpose.
Self Certification Separation
$20
Use this form when there is no legal separation agreement, yet married residents no longer live together. Per HH 4350.3 Paragraph 5-13, family self-certifications must be notarized or witnessed.
Self Certification Termination of Employment
$20
Use this form when an employer will not respond to verification requests regarding termination of employment. Per HH 4350.3 Paragraph 5-13, family self-certifications must be notarized or witnessed.
Self Certification Use of Funds Representative Payee
$20
Owner/agents may use this form when a resident receives benefits, but those benefits are paid to a Representative Payee. The income must be associated with the recipient (not the Representative Payee) and the asset where the money is deposited is essentially owned by the recipient (not the Representative Payee). When a minor is part of a joint custody arrangement, the income and the asset are associated with the family taking advantage of the $480 Dependent Deduction. Per HH 4350.3 Paragraph 5-13, family self-certifications must be notarized or witnessed
Verification Assets Annuity
$20
Use this form to verify information about the asset value of or income generated by an annuity.
Verification Assets Bank Account (Pre HOTMA)
$20
Use this form to request information about accounts and account balances directly from a bank. This form still asks for an average balance over six months for checking accounts and asks for the current balance for all other accounts.
Verification Assets Bank Account HOTMA
$20
Updated for HOTMA and/or TRACS 2.0.3.A Use this form to request information about accounts and account balances directly from a bank. Owner/agents may use current statements to verify the cash value of bank accounts. That is the preferred method. Under HOTMA, sending a verification directly to the bank is done when the resident cannot provide adequate statements. With the implementation of HOTMA owner/agents are to use current balances for checking accounts rather than a six month average. If you implement any HOTMA changes before HOTMA compliant software is available, you must document the tenant file.
Verification Assets Direct Express
$20
Use this form to verify the balance for a Direct Express Debit Card when the owner/agent does not wish to copy the card.
Verification Assets Life Insurance
$20
Use this form when a resident owns a life insurance policy and information is needed to determine the cash value of the policy and the income from the asset.
Verification Assets on Deposit
$20
Use this form to inquire about types of assets on deposit from any financial institute. This Pre-HOTMA version asks for a six month average balance for checking accounts and asks about the current value of retirement accounts.
Verification Assets on Deposit HOTMA
$20
Updated for HOTMA and/or TRACS 2.0.3.A Use this form to inquire about types of assets on deposit from any financial institute. This HOTMA version asks for a current balance for checking accounts and allows for exclusion of retirement accounts.
Verification Assets Real Estate Holdings
$20
Use this form to verify the value of real property and the cost to sell the property.
Verification Assets Whole or Universal Life Insurance
$20
Use this form to verify the cash value of any whole life insurance policy or any universal life insurance policy.
Verification Deduction Child Care/Attendant Care
$20
Use this form to verify Childcare Expenses or Attendant Care used for the Disability Assistance Expense (Attendant Care & Auxiliary Apparatus Expense under HOTMA) when a disabled person requires care/supervision to enable an adult household member to work.
Verification Deduction Medical Expense
$20
Use this generic medical expense verification form to request record of expenses for the last year.
Verification Deduction Medical Expense Caregiver
$20
Use this form to verify the medical expense deduction for a caregiver.
Verification Deduction Medical Over the Counter Products (Pre HOTMA)
$20
Use this form to verify that over-the-counter products are used to treat a specific medical condition. Costs of items used for general good health are not included when determining the Medical Expense Deduction.
Verification Deduction Medical Over the Counter Products HOTMA
$20
Updated for HOTMA and/or TRACS 2.0.3.A Use this form to verify that over-the-counter products are used to diagnose, prevent or treat a specific medical condition which is the new requirement under HOTMA. Costs of items used for general good health are not included when determining the Medical Expense Deduction. If you implement any HOTMA changes before HOTMA compliant software is available, you must document the tenant file.
Verification Eligibility Disability 811 PRAC
$20
Use this form as an alternative to HUD’s form to verify eligibility based on disability for HUD's 811 PRAC properties. See HH 4350.3 R1, Paragraph 3-28 for acceptable alternatives for this form.
Verification Eligibility Disability S8
$20
Use this form to verify eligibility based on disability for HUD's Section 8 Elderly and HUD's 202/8 properties. Please refer to HH 4350.3 Revision 1, Paragraph 3-17 to obtain more information about disability eligibility for the Section 8 family and elderly program (not 202/8). Also see HH 4350.3 R1, Paragraph 3-28 for acceptable alternatives for this form.
Verification Eligibility HUD Assistance
$20
Use this form to request verification from the landlord indicated in EIV, if the EIV Existing Tenant Search indicates that an applicant is receiving assistance in another residence that was not disclosed.
Verification Employment Income Dispute EIV
$20
When a resident disputes employment records displayed in EIV, owner/agents must attempt to conduct third-party verification with the employer. This verification can be used to notify an employer that they may have keyed an employee’s Social Security incorrectly or that an employee may be using your resident’s Social Security Number.
Verification GR Utility Expenses
$20
Use this document to obtain verification of utility expenses for an existing resident.
Verification Income Employment
$20
Use this form to contact an employer directly and verify date of hire and income.
Verification Income Gifts or Regular Contributions
$20
Use this form to obtain third-party verification from a person or organization who is providing gifting income or regular contributions to a resident.
Verification Income Personal Loan
$20
Use this form to verify regular contributions that should be treated as a loan instead of income.
Verification Income Work Study
$20
Use this form to verify if income from a “work study” or Job Training program should be excluded from the family’s income calculation. If the verifier answers “yes” to any of the clarification questions, then the income should be excluded based on guidance provided in HH 4350.3 R1, Exhibit 5-1.
Verification IR Permanent Address
$20
Use this form to verify that a current resident has moved out of a unit. This form is commonly used when the owner/agent has evidence that the resident has not truly moved out of the unit. See HH 4350.3 Paragraph 3-27 for additional information about verifying housing composition.
Verification IR Permanent Address Unit
$20
This verification is used when a resident requests to add a minor, already living in the unit, to the lease/50059. This is used to verify the unit is the primary address for a minor. Verification can be conducted with a medical provider, a school, a parole officer, etc. This should conform to your policy. See HH 4350.3 Paragraph 3-27 for additional information about verifying housing composition.
Verification Move Out
$20
Some owner/agents are struggling to keep new residents compliant with single subsidy requirements. This document may help assist with the effort. If an applicant is currently receiving assistance in another HUD assisted residence, owner/agents may want to verify move-out before allowing the resident to move into the new unit. This will help ensure compliance with the single subsidy rule and may assist in resolving disputes that may come up in the future.
Verification Oral Phone
$20
If you conduct oral/phone verification, you must do so in compliance with HH 4350.3 R1, Paragraph 5-18. This form helps you document phone verification in compliance with HUD requirements.
Verification Oral Phone Investment
$20
Use this form when collecting verification information by phone by contacting the bank or financial institution in charge of managing a resident’s IRA or 401K account.
Verification Review of Documents
$20
If you conduct verification but you cannot copy the verification documents, you must note the file in a manner that is in compliance with HH 4350.3 R1, Paragraph 3-13. This form helps you document verification in compliance with HUD requirements.
Worksheet Assets Rate of Return
$25
Use this worksheet to calculate the projected rate of return for investments that earn income based on the stock market performance. Options are to 1) use the current year rate of return and project for a full year, 2) use the average rate of return for the two years prior to the year of the certification or 3) use the average rate of return for the three years prior to the year of the certification. Calculations are included and property management professionals only need to include values noted in green.
Worksheet EIV Income Discrepancy Calculation
$25
Use this Excel worksheet to document review of EIV Discrepancy Report at AR and IR.
Worksheet IR Analysis
$30
Use this worksheet to document investigation as to whether or not an Interim Recertification is required.
Worksheet Medical Mileage
$25
Use this Excel Worksheet to calculate and document medical mileage amounts used as part of the Medical Expense Deduction for qualified families. This form currently shows the 2025 IRS mileage rate of 21 cents per mile. This rate should be updated annually. https://www.irs.gov/tax-professionals/standard-mileage-rates
Worksheet Repayment Calc
$30
Use this worksheet to document your method used to determine a Repayment Agreement amount.
