HUD ANNUAL RECERTIFICATION CHECKLIST

Appointment Date:______________________ Date Verifications Sent Out:______________________

Date Sent to CEPCO:______________________

HUD ANNUAL RECERTIFICATION CHECKLIST

PROPERTY:

UNIT:

TENANT:

EFFECTIVE DATE:

The following forms must be signed by the head of Household and all members who will be 18 on the effective date.

Household Questionnaire (Date and Time Received) Release of Information ? 9887 & 9887A forms Annual Student Certification Divestiture of Assets Family Summary Worksheet HUD Acknowledgement and Acceptance Form Drug Free Housing Agreement Emergency Contact Form

Resident Handouts

Rules & Regulations HUD Residents Rights & Responsibilities HUD Fact Sheet ? 4 pages HUD-9887/A Fact Sheet Fraud ? Is It Worth It? Form HUD-1141 EIV & You Brochure Resident must receive these and sign the HUD Acknowledgment and Acceptance Form.

Certification Tracking Sheet

Supporting Verifications

Income: Social Security is verified through EIV,________________________________________________________

Assets: ______________________________________________________________________________________

Child/Day Care Expense: (If Applicable)______________________________________________________________

Medical Expense: (If Applicable)____________________________________________________________________

RETURN ALL FORMS INCLUDING THIS CHECKLIST IN THE ORDER OF THE CHECKLIST

CEPCO Management, Inc. is an equal opportunity provider and employer PO Box 456, 32 Tenth Ave. S, Hopkins, MN 55343 * Phone 952-935-0359 * Fax 952-935-9612



Rev. 3/2013

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