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Interim 2024

The document provides instructions for Housing Choice Voucher customers on how to report changes in income or household composition using a Personal Declaration Form. Changes must be reported within 10 business days and accompanied by supporting documentation, with specific requirements outlined for income changes and lease additions or deletions. Customers are advised to submit complete packets without photos or screenshots of documents and to refer to attached letters for additional details.

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fredaabridges
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18 views8 pages

Interim 2024

The document provides instructions for Housing Choice Voucher customers on how to report changes in income or household composition using a Personal Declaration Form. Changes must be reported within 10 business days and accompanied by supporting documentation, with specific requirements outlined for income changes and lease additions or deletions. Customers are advised to submit complete packets without photos or screenshots of documents and to refer to attached letters for additional details.

Uploaded by

fredaabridges
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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INTERIM PACKET

Dear Housing Choice Voucher Customer:


Attached you will find a Personal Declaration Form to complete in its entirety. This form must
be filled out in order to report any change in your income or household composition prior to
your annual recertification appointment. All household members 18-years of age and older must
sign and date the document.

To report a change in income or household composition, this form must be accompanied by any
supporting documentation to verify the nature of the change. All changes in household
composition and/or income must be reported within 10 business days of the change.

You must submit the applicable verifications to HOC with your interim
packet. Photos and screenshots of documents will not be accepted.
Please ensure all two sided pages are scanned and/or copied to include with
your packet.
Please refer to the attached letter for details. Please read the attached documents
and submit this packet along with the required documentation listed below.

INCOME CHANGE: To report a change in income, please submit the Personal Declaration Form
along with the following applicable information:

New Employment:
Letter from employer on company letterhead indicating new employment. Letter should state
hourly pay and hours scheduled to work weekly, or hours per pay period along with the
frequency of pay, or annual salary.
Existing Employment, Benefits, or Income:

Four most recent consecutive pay-stubs.

Letter from employer on company letterhead indicating a change in employment status such
as a termination, decrease in work hours, decrease in salary (base pay or hourly wages),
termination of seasonal employment, new employment (part-time, temporary, permanent,
seasonal), increase of work hours, or increase of salary.

Letter/Statement from the Department of Social Services indicating a change in benefits such as
reduction of
TANF Benefits, loss of TANF Benefits, reduction of General Relief, Approval of TANF Benefits,
Approval of General Relief. Please Note: HOC will not reduce your rent for loss of welfare benefits
if you failed to comply with welfare program requirements.
Letter/Statement from the Social Security Administration Letter/Statement from the Division
of Child Support indicating approval or loss of child support benefits.
Letter/Statement from Pension Plan indicating amount of pension.

Letter/Statement from Unemployment Office indicating amount and duration of


unemployment benefits.
Letter/Statement from Department of Veteran Affairs indicating amount of benefit.
Letter from Childcare Provider indicating the amount paid for childcare services. Letter
must include name, address and telephone number of the childcare provider.

LEASE ADDITION: To report a change in household composition, please submit the Personal
Declaration Form along with the following applicable information:
1. To add another adult to the household, please contact the Housing Resources Division or
your site manager to request a lease addition package and further instructions upon completion
of the packet. Submit the packet to your site manager for approval/denial. Please include a copy
of the following items:
 Social security card
 Driver’s License
 Birth Certificate
 Declaration of Citizenship Form
 Proof of income as listed above.
HOC will determine if individuals can be added upon receipt of a criminal
background check and written approval from your landlord.
2. To add a minor child, please submit a copy of the following:
 Birth certificate
 Social security card
 Proof of custody or guardianship, if the minor is not your natural child.
 Declaration of Citizenship Form
LEASE DELETION: To remove a family member from the household, contact the Housing
Resources Division for a Lease Deletion Form, complete the attached Personal Declaration
Form and submit the following:

1. Name of family member being removed from the household along with a new forwarding
address. Please submit verification of new address by enclosing a copy of a new lease,
driver’s license or mail, such as a utility bill, showing the new address.

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