PARTICIPANT FORMS
Changes and Moves Forms (En Español)
Use these forms to
report changes and make requests to the Housing Authority once you are
receiving assistance. For more information, see our
Q&A page
|
Form |
Description |
|
|
HV1.
|
Application to Add New Members
to the Household |
Use this form to request permission to add members to your household. |
| HV2. | Request to Remove Members from the Household |
Use this form to request permission to remove members from your household. |
HV3. |
Income Change Form |
Use this form to notify the Housing Authority of changes to your income. |
HV4. |
Transfer Request Form |
Use this form to request permission to move to another unit in the area with your voucher. |
HV5. |
Portability Request Form |
|
HV6. |
Request for Consent to Act on Tenant's Behalf |
Use this form to authorize someone else to speak to the Housing Authority or receive mail on a person's behalf. |
|
HV7.
|
Self-Employment Certification
|
Use this form to provide a summary of your self employment
income and expenses from the last twelve months.
|
|
Other Forms Frequently Requested by Program Participants |
||
|
HV8.
|
Housing Search Extension Request Form |
Use this form to request an extension of the term of your
voucher. |
|
HV9. |
HUD - Authorization to Release Information |
In signing this consent form, you are authorizing HUD and the Housing Authority to request income information. |
|
HV10.
|
PHA - Authorization to Release Information |
In signing this consent form, you are authorizing the
Housing Authority to collect income or asset information, as
well as childcare, disability and medical expenses, full time
student status, and criminal history. |
|
HV11.
|
How to Figure Out What You Pay in Rent - Section 8 Only |
Use this form to
assist you in calculating your initial rent. |
|
HV12.
|
Self Certification Form |
|
|
HV13. |
HUD - Things to Know about your Housing Assistance
|
This is to inform you that there is certain information you
must provide when applying for assisted housing. There are
penalties that apply if you knowingly omit information or give
false information. |
|
HV14. |
Family Contact List |
Use this form to document the rental units you've contacted
during your housing search. In order to get an extension, you
will need to show that you have been trying to find a place to
rent. |
|
HV15. |
Supplement to Application for Federally Assisted
Housing |
This contact information is for the purpose of identifying a
person or organization that may be able to help in resolving any
issues that may arise during your tenancy or to assist in
providing any special care or services you may required.
|
|
HV16. |
Program Violations and/or Fraud
Reporting Form |
Use this form to report any Program Violations and/or any
fraud. This information is kept confidential. |
| HV17. | What You Should Know About EIV | A guide for Applicants & Tenants of Public Housing & Section 8 Programs |
Residents of Public Housing (LIPH) and other Housing Authority-Owned
Properties Forms
For more
information about Housing Authority-owned properties, including public
housing, go
here.
| Public Housing Only | ||
|
PH1. |
Pet Policy |
Residents wanting to keep pets must apply to the Housing Authority using the Pet Application Form. |
|
PH2.
|
Pet Application Form |
|
|
PH3. |
Assistive Animal Policy |
Residents wanting to keep assistive or companion animals must apply to the Housing Authority using the Assistive/Companion Application Form. |
| PH4. | Assistive Animal Application | |
Forms Note: Forms are provided for download in Adobe PDF format. PDF is a standard file format. Free PDF file Acrobat software is available from Adobe.
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2931 Mission St. • Santa
Cruz, CA 95060-5709 • (831)454-9455 • TDD: (831)469-0122
Fax: (831)469-3712 • Hollister: (831)637-0487 • E-mail:
info@hacosantacruz.org
Hours: Monday through Thursday, 8:00 AM to 5:00 PM
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