Use this to verify bank accounts such as savings, checking, CD

Use this to verify mutual funds, annuities, IRA, 401K, etc.

Use to verify whole or universal policies. Term accounts have no cash value and do not count as assets.

Used by manager to show real estate calculations

Note trust accounts can be income or assets

This can be used by a 3rd party making payments

Revised in 2020 as a fillable form with additional questions.

Use this to verify ongoing cash contributions or for recurring contributions for things such as rent payments, utility payments, etc.

Use to verify income for a voucher assisted household

Use this for anyone who receives income as a business owner, independent contractor, sole proprietor, cash pay, odd jobs, etc. Here is a blog article about self employment income.

Used by manager to document file with efforts to obtain 3rd party verification

Send to VA office

Use this when annualized YTD pay does not closely match projected pay data provided by employer

Use this for any adult tenant with no reported income

Use to obtain medical verification for the need of a live-in aide

Use for anyone divorced, separated, widowed, or estranged from their spouse

Use for any child not living with both biological or adoptive parents to help establish income and student eligibility.

Use this for any tenant employed in a seasonal capacity

Use this for any adult tenant with no job

Use for all college/university students.

All adult members of household complete and sign this if detailed student questions are not on your application/questionnaire.

Use to document information obtained verbally or to explain any unusual circumstance in the file.

Replaces interview checklist and recertification questionnaire. Suggest making this form a requirement in our state monitoring and no longer requiring the 8 page application form.