Forms for Active Clients

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Active Clients - depending of what is changing or if you need annual recertification, the needed forms are listed below. 

Stop by our office to pick up these forms.
715 W. Sherman Ave. Ste. J
Harrison, AR 72601 

 

Forms for Income Changes:

  1. HHA Employment Verification
  2. HHA Update Form
  3. Income Self Certification
  4. Zero Income Form

Forms for Annual Recertifications:

  1. Authorization for Release of Information
  2. Bank and Income Tax
  3. Criminal History Report
  4. HHA Employment Verification
  5. Reexamination Form
  6. Tax Form
  7. What You Should Know About EIV

Forms for Household Changes/Adding a New Household Member:

  1. New members over 18 years of age
  2. Authorization for Release of Information
  3. Criminal History Report
  4. Debts Owed to Public Housing Agencies and Terminations
  5. Declaration of Citizenship
  6. HHA Employment Verification
  7. HHA Update Form
  8. Income Self Certification
  9. Tenant PI FCRA
  10. Zero Income Form

New members under 18 years of age:

  1. Declaration of Citizenship
  2. HHA Update Form
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