Handouts & Forms


PASADENA RENTAL HOUSING 

Housing Department standard forms and informational handouts are now available on its website. You are able to view and print out the standard program forms and informational handouts. You will find a list of available forms and handouts along with a brief description of each form to assist you in selecting the correct form or handouts.

The following is a list of different forms, flyers, brochures, booklets, and pamphlets available at the City of Pasadena Housing Department (CoPHD).

A Good Place to Live

Booklet helps persons to understand what the housing quality standards are and why they are important.


Affidavit Form

Form must be completed by family member who is making a certification. Affidavit must be notarized.


Affidavit Form-Self Employment

Form must be completed by a family member who is reporting self employment. Affidavit must be notarized.


Affordable Rental Housing List July 2014

Shows the units in Pasadena that are affordable.


Assumption Contract

Form is given to new owner of a property for execution, in order to assume the lease and contract already in place.


Authorization For Release of Information Form – HUD

Form along with the HUD Authorization for the Release of Information must be signed by all adult family members.  This form is usually provided along with the Personal Declaration form or the Waiting List Update of Family Circumstances form.


Authorization For Release Of Information Form – PCDC

Form along with the HUD Authorization for the Release of Information must be signed by all adult family members.  This form is usually provided along with the Personal Declaration form or the Waiting List Update of Family Circumstances form.


Child Support-Alimony Certifications Form

Form is completed by the participant or applicant.


Debts Owed to Public Housing Agencies and Terminations Form

Informs participants that HUD maintains a repository of debts owed to PHAs and adverse information of former participants who have voluntarily or involuntarily terminated participation’s in one of HUD Rental Assistance Programs.


Declaration of Section 214 Status Form

Form is provided at the time of a waiting list appointment.  Each family member must have one completed by the actual person unless the family member is a minor.  If the family member is a minor, then the legal guardian completes the form. Form is also provided for a participant on the program who is adding someone to their case.


Fair Housing – Equal Opportunity for All

Booklet provides information on Fair Housing.


Fraud

Fraud is generally defined in the law as an intentional misrepresentation of material existing fact made by one person to another with knowledge of its falsity and for the purpose of inducing the other person to act, and upon which the other person relies with resulting injury or damage. Fraud may also be made by an omission or purposeful failure to state material facts, which nondisclosure makes other statements misleading.


HOME Tenant-Based Rental Assistance Program

Hand out provides information on the HOME Program.


Housing Assistance Payment Contract

Housing Choice Voucher Program Contract (Section 8) – find your own place and use the voucher to pay for all or part of the rent.


Housing Information Line

The City of Pasadena HOUSING Department automated voice service has changed to better serve the community. This 24/7 (24 by 7) service provides details on housing assistance, home buyer or ownership assistance and housing related services including owner & landlord inquiries.


Housing Opportunities for Persons With Aids (HOPWA) Program

Hand out provides information on the HOPWA Program.


How To Find A Rental Unit

Hand out is usually provided at the time of briefing session.


Information For Property Owner

General policies and procedures for any person or entity having the legal right to lease a unit to a participant.


Lead based Paint Information

Form is provided at the time of the Briefing Session, regarding Lead –based Paint Poisoning.


Move with Continued Assistance-Policy and Procedures

Families already on the program who are interested in moving with assistance (need a new voucher) must follow the policy and procedures for moving.


Obligations of the Rental Assistance Program Participant Family Form

Form is provided to the family at the time of annual re-examination, briefing session, or when family is adding a family member.


Participant Fact Sheet

This form is mailed with the annual renewal packet to program participants.


PayMode

Bank of America direct deposit program for landlords to enroll in order to receive rental payment in the form of an electronic payment transfer into ones personal account.


Personal Declaration for Rental Assistance Benefits

Form is provided to family at the time of their annual re-examination, waiting list appointment or prior to leasing up.


Public Housing Authority Website Directory

Provides the name of the housing authorities and locations.


Request for Reasonable Accommodation

Form provided by the Housing Assistants only.  Persons with Disabilities may request a reasonable accommodation.


Request for Voucher Extension Form

Voucher holder requesting an extension must submit this form.


Request for Voucher Extension Policy

Voucher holder must following these policies and procedures to request and extension.


Self-Certification Form

Form is completed by family member who is certifying to a statement made.  Form does not need to be notarized.


Shelter Plus Care (S+C)

Hand out provides information on the Shelter Plus Care Program.


Statement of Policies

Form is including in the RFTA package, this form gives a brief summary of the CoPHD policies and procedures for the Rental Assistance Program.


Statement of Property Ownership Form

Form is completed by the property owner/authorized agent before a contract is executed.  This form is also used by property owner/agent to report address changes or management changes.


Things You Should Know

Form is usually provided at the time of a waiting list appointment.


Update of Family Circumstances Form

Families on the program (not applicants on the waiting list) reporting changes not at the time of the annual process must complete this form.


Waiting List Personal Declaration for Rental Assistance Form

Form is provided to family on waiting list prior to leasing up or at appointment.


What You Should Know About EIV Form

The Enterprise Income Verification (EIV) system is a web-based computer system that contains employment and income information of individuals who participate in HUD rental assistance programs. All Public Housing Agencies (PHAs) are required to use HUD’s EIV system.


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