Family Obligations for Housing Eligibility and Reasons for Termination of Housing

170 Arch Street | P.O. Box 2828
Spartanburg, SC 29303

Phone 864.598.6000 | Fax 864.598.6155
Office Hours: Monday - Thursday | 8:00 am - 5:30 pm EST | Friday 8:00 - Noon EST

Fields marked with * must be filled out or form will not submit.

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Some examples of income verification are 6 Paycheck Stubs, W2 Tax Forms, and Bank Statements. ","name":"The-family-must-supply-any-information-that-SH-or-HUD-determines-necessary-for-eligibility-for-annual-recertification-or-for-any-other-interim-reexamination-This-includes-paperwork-that-shows-proof-of-all-income-for-your-household-Examples-of-income-documentation-needed-are-Child-Support-Income-Unemployment-Benefits-Social-SecuritySSI-TANF-Retirement-Benefits-Contributions-and-Income-from-Work-Some-examples-of-income-verification-are-6-Paycheck-Stubs-W2-Tax-Forms-and-Bank-Statements-","className":"d-block","values":[{"label":"I agree.","value":"I-agree"}]},{"type":"checkbox-group","required":true,"label":"The family must disclose and verify Social Security Numbers and must sign and submit Consent Forms for obtaining information.","name":"The-family-must-disclose-and-verify-Social-Security-Numbers-and-must-sign-and-submit-Consent-Forms-for-obtaining-information-","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"Any information supplied by the family must be true and complete.","name":"Any-information-supplied-by-the-family-must-be-true-and-complete","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"The family must report any change of income within ten days of the change in writing.","name":"The-family-must-report-any-change-of-income-within-ten-days-of-the-change-in-writing","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"SH must approve the composition of the family living in the unit. The family must inform SH of the birth, adoption, or court-awarded custody of a child within 15 days in writing. ","name":"SH-must-approve-the-composition-of-the-family-living-in-the-unit-The-family-must-inform-SH-of-the-birth-adoption-or-court-awarded-custody-of-a-child-within-15-days-in-writing-","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"The family must request, in writing, SH approval to add any other family member as an occupant of the unit. No other person except members of the family may live in the unit except for foster children or live-in aids who are approved by SH. ","name":"The-family-must-request-in-writing-SH-approval-to-add-any-other-family-member-as-an-occupant-of-the-unit-No-other-person-except-members-of-the-family-may-live-in-the-unit-except-for-foster-children-or-live-in-aids-who-are-approved-by-SH-","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"The family must notify SH within ten days in writing if any family member no longer resides in the unit. ","name":"The-family-must-notify-SH-within-ten-days-in-writing-if-any-family-member-no-longer-resides-in-the-unit-","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"The family may not commit any serious or repeated violation of the lease and is responsible for paying rent and utilities on time. Utilities must be in the name of the Head or Co-Head of Household for the entire period the family receives housing assistance. ","name":"The-family-may-not-commit-any-serious-or-repeated-violation-of-the-lease-and-is-responsible-for-paying-rent-and-utilities-on-time-Utilities-must-be-in-the-name-of-the-Head-or-Co-Head-of-Household-for-the-entire-period-the-family-receives-housing-assistance-","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"No one other than SH approved family members may represent to any outside agency that they reside in the unit. This includes allowing someone other than approved family members to receive mail at the unit. ","name":"No-one-other-than-SH-approved-family-members-may-represent-to-any-outside-agency-that-they-reside-in-the-unit-This-includes-allowing-someone-other-than-approved-family-members-to-receive-mail-at-the-unit-","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"The family must notify SH in writing before the family moves out of the unit.","name":"The-family-must-notify-SH-in-writing-before-the-family-moves-out-of-the-unit","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"The family must promptly notify, in writing, SH if they will be absent from the unit.","name":"The-family-must-promptly-notify-in-writing-SH-if-they-will-be-absent-from-the-unit","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"The family must not sublease or let the unit and the family must not assign the lease or transfer the unit.","name":"The-family-must-not-sublease-or-let-the-unit-and-the-family-must-not-assign-the-lease-or-transfer-the-unit","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"The family will be terminated if members of the family commit fraud, bribery, or any other corrupt or criminal act in connection with this program. ","name":"The-family-will-be-terminated-if-members-of-the-family-commit-fraud-bribery-or-any-other-corrupt-or-criminal-act-in-connection-with-this-program-","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"The family will be terminated if family members engage in drug-related or violent criminal activity.","name":"The-family-will-be-terminated-if-family-members-engage-in-drug-related-or-violent-criminal-activity","className":"d-block","values":[{"label":"I agree.","value":"I agree."}]},{"type":"checkbox-group","required":true,"label":"By signing below, I acknowledge that I have been briefed on the Public Housing Certification Process and have been informed of my obligations as a participant in the Public Housing Program and that failure to abide by the obligations listed above will result in termination of my housing assistance. ","name":"By-signing-below-I-acknowledge-that-I-have-been-briefed-on-the-Public-Housing-Certification-Process-and-have-been-informed-of-my-obligations-as-a-participant-in-the-Public-Housing-Program-and-that-failure-to-abide-by-the-obligations-listed-above-will-result-in-termination-of-my-housing-assistance-","className":"d-block","values":[{"label":"I acknowledge.","value":"I acknowledge."}]},{"type":"text","required":true,"label":"Signature","placeholder":"By typing your name, you are signing this form.","name":"Signature","className":"col-md-6","subtype":"text"},{"type":"date","required":true,"label":"Date of Signature","name":"Date-of-Signature","className":"col-md-6"}]

Family Obligations for Housing Eligibility and Reasons for Termination of Housing

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