Scattered Site residents are now able to complete their recertification process digitally.
Below you will find the Housing Authority (HA) recertification forms, as well as the resident documents checklist which details your income, asset and household information documents you need to submit.
The first set of documents below are all mandatory as part of your eligibility recertification for public housing. Most forms must be completed by all household adults. Please read through carefully and be thorough when completing.
The documents located at the bottom of the list are informational handouts that you need to review but that do not require your signature and do not need to be returned. Residents are expected to know all rules and requirements detailed within these informational sheets, and are signing a Certification Form affirming they have reviewed these forms and agree to the terms within.
Remember that you must submit records of all income, assets and related documents as part of this review. THIS RECERTIFICATION CHECKLIST details the documents you are required to submit.
Below you will find the Housing Authority (HA) recertification forms, as well as the resident documents checklist which details your income, asset and household information documents you need to submit.
The first set of documents below are all mandatory as part of your eligibility recertification for public housing. Most forms must be completed by all household adults. Please read through carefully and be thorough when completing.
The documents located at the bottom of the list are informational handouts that you need to review but that do not require your signature and do not need to be returned. Residents are expected to know all rules and requirements detailed within these informational sheets, and are signing a Certification Form affirming they have reviewed these forms and agree to the terms within.
Remember that you must submit records of all income, assets and related documents as part of this review. THIS RECERTIFICATION CHECKLIST details the documents you are required to submit.
Recert Forms needing your signature and date. These forms must be returned to the HA.
- Family Declaration - Only complete if the blue version was not mailed - complete every field, all adults must sign
- Informed Consent Form - Print name, date of birth, sign and date; each adult must complete one form
- HUD Release Form - All adults must sign and date bottom pg 2.
- General Release - In middle by *, print name, address, sign and date; each adult must complete one form
- Asset Release Form - In middle by *, print name, address, sign and date; each adult must complete one form
- Utility Release Form - In middle by *, print name, address, sign and date; each adult must complete one form
- Public Benefit Release Form - In middle by *, print name, address, sign and date; each adult must complete one form
- Employer Release Form - In middle by *, print name, address, sign and date; each adult must complete one form
- Minimum Asset Report - If your assets are below $5000, complete ALL fields of this form. Do not leave any fields blank.
- Access Authorization - Complete all fields, listing at least one contact.
- Flat Rent Rate Option (2020-21) - Read all fields, select one option at the bottom, sign and date.
- Community Service Form - Each adult must complete the form
- Resident Repair Request - List any repair needs. If none, check bottom box. Sign and date.
- Pet Update Form - List your name, date and address, and answer 1-4 as appropriate. Sign and date.
- Vehicle Report Form - List all vehicle information for the household; Head of Household signs and dates; Provide proof of liability insurance.
- Tenant Certification - All adults must sign and date.
- Rent Direct Deposit - Optional, only complete if starting new ACH, carefully complete all fields.
The documents below are provided for your information. You are expected to review each document annually as part of your lease renewal.
- Fact Sheet: How Your Rent is Determined
- Is Fraud Worth It
- HUD VAWA Forms
- Community Service and Rent Collection Guides
- Additional Family Housing resources and policy guides are available on the Family Housing Resources webpage
Photo by Felipe Salgado