How do I fill out the Family Certification Form?

The purpose of this form is to collect current household composition and income as well as record asset/expense/deduction information and if there have been any changes to any of the above. There are five pages to this form and all must be returned filled out.

As you can see the example below, the highlighted sections must be filled out. This includes the following:

• The name of the head of household and their last four digits of their social security.
• Their phone number and address.
• Who completed the form (which should only be the head of household).
• Section 1: Who is in the household, what are their demographics (optional), what is their income, income amounts, if they are disabled, or if they are a full time student or not.  

The next page includes reporting other income. If on the first page of the application you selected 'other' in the income section, you would complete what other income that is with the options on the third page. 

In addition to the other income section and at the beginning of the next page, this will also be the section you report any deductions/expenses in your household. You will need to provide verification of these deductions/expenses in order for them to be considered in a deduction in your rent share calculation.  Following the deduction section will ask for any criminal activity in the household. 

The final page is to confirm any emergency contact and for the head of household to sign and date the form, ensuring the information filled out is correct and accurate.