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Forms
Rental Assistance Forms
Local Information Sheet Effective 4/1/24 and Payment Standards Effective 1/1/2025
Utility Allowance Effective 1/1/2025
HCV-Landlord-Handbook New PWC with Direct Deposit 4-22-24
Statement of Tenants Rights and Responsibilities
Briefing Package
| L-7a HUD Form 5382 Certification of Domestic Violence 6-30-17 |
R-11 Local Information Sheet Income Revised 4-1-24 Payment Standards Effective 1-1-25 R-12 PHA Plan Chapter 6 Income and Subsidy Determinations 01-2023 |
| L-7b OHCD VAWA Lease Addendum 3-1-24 | R-13 Utility Allowance Charts Effective 1-1-25 |
| L-8 Fair Housing Equal Opportunity for All HUD (English) 1686 Published 2011 | R-14 Map of PWC HCV with Poverty Areas 2021 |
| L-9 Are You a Victim - Reporting Discrimination (English) HUD 2529-0011 Exp 12-31-23 | R-15 Virginia Tenant Rights and Responsibilities Landlord Tenant Act As of July 2023 (English) DHCD 8-9-23 |
| L-9a Are You a Victim - Reporting Discrimination (Spanish) HUD 2529-0011 Exp 12-31-23 | R-15a Virginia Tenant Rights and Responsibilities Landlord Tenant Act of July 2023 (Spanish) DHCD 8-9-23 |
| L-10 PHA Plan Chapter 16 Program Administration Informal Hearing 01-2023 | |
| L-11 Community Resource List - ARPA Partners and Services | |
| L-12 Register as Vendor Direct Deposit and W-9 2004 |
Recertification
| Affidavit of Understanding Applicant Tenant Unauthorized Persons Revised 4-9-18.pdf | Applicant Tenant Certification Statement 4-6-18.pdf | Authorization to Release Information and other forms 4-6-18.pdf |
| Briefing Declaration - 2018 legal 4-6-18.pdf | Earned Income Disallowance.pdf | IVT Authorization to Release Information |
| Recertification Verification Need Checklist 4-14-18.pdf | School Attendance Verification 4-19-18.pdf | Self Certification Do Not Received Child Support 6-11-18.pdf |
| Self Certification of Child Support Payments Received 6-11-18.pdf | Statement of Family Obligation and Grounds for Denial 4-9-18.pdf | TIF Legal with Supplement 4-4-24.pdf |
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Reasonable Accommodations
Vendor Registration and Direct Deposit
| Register as Vendor, Direct Deposit and W-9 (2024) | W-9 Request for Taxpayer ID Number and Certification 2024.pdf | Change of Ownership/Management Packet
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Income Verification
| Applicant Tenant Certification Statement 4-6-18.pdf | Bank Verification 2-28-18.pdf | EXHIBIT 6 Income.pdf |
| FamilyDeclarationofAssetsunder$5000.pdf | IVT Authorization to Release Information.pdf | School Attendance Verification 4-19-18.pdf |
| Self Certification Do Not Received Child Support 6-11-18.pdf | Self Certification of Child Support Payments Received 6-11-18.pdf | Self Employment Certification 6-11-18.pdf |
| Statement of Family Obligation and Grounds for Denial 4-9-18.pdf | Verification of Income Loss of Income 6-27-18.pdf | Zero Income Certification.pdf |
| Zero Income Checklist.pdf | Zero Income Worksheet.pdf |
Other Forms
| Change Form for Applicant and Participant 7-5-18.pdf | FamilyDeclarationofAssetsunder$5000.pdf | Home Search Log 7-5-18.pdf |
| Informal Hearing Procedures for Participants.pdf | Mutual Agreement to Terminate Lease and HAP Contract 7-5-18.pdf | Owner Certification Form 6-18-18.pdf |
| Port Out Request Form 2-28-18.pdf | Rent Increase Request Form 2017.pdf | Self Certification Do Not Received Child Support 6-11-18.pdf |
| Self Certification of Child Support Payments Received 6-11-18.pdf | Self Employment Certification 6-11-18.pdf | Verification of Income Loss of Income 6-27-18.pdf |
| Waiting List Update Form |