www.pbchafl.org
Housing Choice Voucher
(HCV) Program
Family Briefing Booklet
PALM BEACH COUNTY
Our Mission:
Our People are committed to the endeavor of
preserving and Building quality, affordable
housing in Choice inclusive neighborhoods -
using Housing as a platform for social and
economic Advancement.
Our Vision:
Our vision is to be the Housing Authority
best recognized for providing quality
housing and supporting the advancement of
individuals and families.
www.pbchafl.org
Palm Beach County Housing Authority
HCV Family Briefing Booklet
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PALM BEACH
Table of Contents
Introduction 1
The Housing Choice Voucher Partnership 2
Voucher Size and Term 5
Choosing Where You Want to Live 6
Leasing Your Unit 7
How Your Rent is Set 8
After You Move In 12
Your Rights and Responsibilities 15
Termination of Your Voucher 21
Attachments
Palm Beach County Area Map of 23
A Good Place to Live 24
Protect Your Family From Lead 32
Fair Housing Is Your Right 36
Sample Lease Addendum 43
EIV & You 47
Is Fraud Worth It 48
VAWA Notice and Certification Form 50
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HCV Family Briefing Booklet
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Palm Beach County Housing Authority HCV Family Briefing Booklet
Introduction
The purpose of this booklet is to provide you and your family the information you need to
understand the Housing Choice Voucher (also known as Section 8) program. To be successful
in the program, it is important that you understand how the program works and your rights and
responsibilities. Please take the time to read the information carefully. More detailed
information about subjects in this booklet can be found in the Housing Choice Voucher
Administrative Plan at http://www.pbchafl.org/forms-and-documents find the Housing-
Choice-Voucher section and click on HCV Briefing Packet.
Housing Choice Voucher Program General Description
The purpose of the Housing Choice Voucher (HCV) program is to provide rental assistance
to eligible low-income families. The HCV program is a free-choice approach, which allows
families to choose housing in the private rental market. The family pays a portion of their
income for rent and the Palm Beach County Housing Authority (PBCHA) pays a portion of
the rent. The U.S. Department of Housing and Urban Development (HUD) establishes rules and
regulations
for the program. Explanations of the main rules are in this booklet. The basic
program works as
follows:
Once a family reaches the top of the waiting list, they are scheduled for an appointment to
determine if the family is eligible for the program. Once the family is determined to be eligible,
the family receives a briefing to explain the program and is issued a voucher and Request for
Tenancy Approval Packet. The family then searches for a housing unit that meets their needs. A
family generally has 60 days to find a housing unit.
Once the family has located a unit and the landlord has agreed to lease the unit to the family
using the HCV program, a Request for Tenancy Approval Packet must be completed by the
landlord and submitted to PBCHA. PBCHA will review the packet and schedule an inspection of
the unit. The inspection is to ensure that the unit is decent, safe, and sanitary. When the unit
passes inspection, PBCHA will negotiate the rent with the landlord. All rents must be reasonable.
When the unit passes an inspection and the rent is set, the family is notified of an appointment
to receive a Move-In Authorization. This allows the family to move into the unit. Once PBCHA
authorizes the move-in, the family signs the lease with the landlord and pays the security
deposit.
The term of the lease is 12 months. The landlord then will sign a Housing Assistance
Payment
(HAP) contract with PBCHA to receive payments. PBCHA is not responsible for any
payments
due prior to issuing a Move-In Authorization and will not make payment to the
landlord until it
receives a signed copy of the lease and HAP contract.
it is important
that you
the program
works and
responsibilities.
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The Housing Choice Voucher Partnership
The HCV program is a joint effort among the PBCHA, you and your landlord. We each have a set of responsibilities.
PBCHA’s Responsibilities
Determine your family’s eligibility
Issue your voucher
Explain the program to you
Approve your tenancy
Pay assistance payments to the landlord
Make sure landlords and families comply with the program rules
Family’s Responsibilities
Provide all the information requested by PBCHA
Find suitable housing
Take good care of your housing unit
Abide by the terms of your lease
Comply with the family obligations of the HCV program
Landlord’s Responsibilities
Screen families and determine their suitability as renters
Comply with fair housing laws
Make repairs to your units and maintain the units to Housing
Quality Standards (HQS)
Comply with the HAP contract between PBCHA and the landlord
Collect the family’s portion of the rent, security deposit and any
charges for damages to the unit
Enforce the lease
Pay for utilities and services agreed upon in the lease
Not collect side payments from the family or charge more than approved by PBCHA
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Voucher Size and Term
Your Voucher Size
The size of unit you are eligible for is indicated on your voucher and is based on the size of your
family. PBCHA is required to establish rules for determining unit size. These rules are called
subsidy standards.
PBCHA determines your voucher size using the standards and following criteria.
Generally, PBCHAs subsidy
standards require two people to
share a bedroom
Live-in aides will not be provided a
separate bedroom; no additional
bedrooms are provided for the aides
family
Foster children will be included in
determining unit size only if they will be
in the unit for more than six months
Space may be provided for a child who is
away at school, but who lives with the
family during school recesses
A child who is temporarily away from
the
home because of placement in
foster care
is considered a member of
the family in determining the family
unit size
Space will not be provided for a family
member, other than a spouse, who will
be absent most of the time, such as a
member who is away in the military
The size unit
for is based on
family.
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PBCHA may grant an exception to these standards if your family needs an additional bedroom
for medical equipment or a family member needs a separate bedroom for reasons related to
a disability, medical or health condition. To qualify for the exception, you need to provide a
written request explaining your need. PBCHA may grant other exceptions to these standards
if it
determines the exception is justified by the health, disability, relationship of the family
members or other personal circumstances.
Term of Your Voucher
The initial term of your voucher is 60 days. You must find a rental unit and submit a Request
for
Tenancy Approval before your voucher expires. If you don’t, you will be required to re-apply
when the waiting list opens again. PBCHA will only approve additional extensions up to 120
day from the original date of voucher for a reasonable accomodation for a person with
disabilities or for reasons beyond the family's control, as determined by the PHA.
The time PBCHA spends processing the Request for Tenancy Approval, inspecting the unit and
negotiating the rent does not count against your search time. If the landlord does not agree to
the rent or the selected unit does not pass inspection, you will be given the unexpired time on
your voucher to search for another unit.
Choosing Where You Want to Live
Using Your Voucher
Your voucher is an agreement between you and PBCHA. When you sign your voucher, you
are agreeing to abide by the Family Obligations, which are listed on page 15, "Your Rights &
Responsibilities.
Choosing an Area of Low Poverty Concentration
PBCHA encourages you to search for a home in an area that does not contain a concentration
of
poverty. Some of the advantages of living in an area of low poverty concentration are access
to better employment and schools, and greater access to community services. To assist you in
identifying these areas, PBCHA provides maps showing areas of low poverty concentration on
page 23 of this booklet.
Find a unit
and submit
a Request
for Tenancy
your voucher
expires.
Low poverty
concentration
areas offer
better
employment
and schools,
and access
to community
services.
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Choosing Your Neighborhood
When you are searching for a home, you should consider the neighborhood that meets your
family’s needs. How do the houses in the neighborhood look from the outside? Is it safe for your
children to play? Is it clean? How is the crime rate? What schools will your children attend?
Is shopping nearby? How close is it to your job or day care? Does it have access to public
transportation? Is there adequate security? Answering these questions may assist you with your
search.
Finding a Home
You may choose to use your voucher in your present unit if your current landlord is willing
to accept the voucher. You may also search listings of available apartments that participate in
the HCV (Section 8) program on www.gosection8.com or www.socialserve.com. If you need
a unit with special
features, PBCHA staff will be happy to show you how to search for a unit
that has the accessible
features you need. Other sources for finding units include newspapers,
apartment finder’s guides
and other internet-searching sites. Make sure that the landlord is
willing to accept your voucher before paying any fees.
Choosing Your Unit
Remember that you will be signing a 12-month lease with the landlord and the unit must pass
PBCHA’s inspection. Make sure that the unit you choose is in good condition. A guide to
selecting
a unit that will meet the inspection standards is provided on page 24 of this booklet. If
you select
a unit built before 1978, it may contain lead. Read the brochure on page 32 of this
booklet and
follow the steps listed to protect your family from lead. When you are looking at
units, make sure
you ask questions so you understand what the rent includes, such as utilities and
appliances. If
you have pets, make sure you understand if the landlord allows pet. Ask about the
amount of the
security deposit.
Search online
for available
units at:
www.gosection8.com
www.socialserve.com
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Leasing Your Unit
Applying for a Unit
Most landlords will require you to complete an application. Be sure you are prepared to complete
the form by having the names, addresses, and phone numbers of your references with
you. Many
landlords will charge you a fee with the application to cover the expense of having
your references
checked. The HCV program does not pay these fees. The landlord may check
with PBCHA to
verify your current and prior addresses and landlords. PBCHA is required to provide this
information to the landlord if it has the information.
The landlord may charge you a security deposit. The HCV program does not pay the deposit
or
limit the amount a landlord can charge. DO NOT PAY THE DEPOSIT BEFORE PBCHA
APPROVES THE UNIT. If you pay the deposit and the unit is not approved, the landlord
may
not return your money.
Most landlords have established standards for accepting or denying an applicant. Standards may
include things such as a minimum number of past landlord references, sufficient income to pay
rent, good credit history, no felony convictions, no prior evictions, and others. If you believe
that
you have been denied housing for a reason other than a reasonable standard, you may be a
victim of unlawful housing discrimination. The booklet, on page 36, contains information about
Fair Housing laws and a copy of HUD’s Housing Discrimination Complaint form.
Completing the Approval Process
Once you have found your apartment and you and the landlord have agreed to enter into a lease,
the landlord will have to submit the Request for Tenancy Approval (RFTA) form, a completed
Owner/Agent Information form, proof of ownership and a completed W-9 form. The completed
packet needs to be returned to the reception desk at PBCHA’s office.
Once PBCHA reviews the completed packet, PBCHA will schedule an inspection. PBCHA
makes every effort to schedule the inspection
within 15 days of completing the review of the
packet. The landlord must be present at the inspection. If the residence needs repairs, the
landlord will be given a list of what needs to be
done. The landlord must call for another
inspection when the repairs are completed.
After the unit passes the inspection, PBCHA will determine a reasonable rent and negotiate the
subsidy amounts with the landlord. PBCHA uses comparable units in the area and the maximum
allowable rents to determine the rent. Please be aware that the landlord may not accept the rent
PBCHA offers.
Do NOT pay the
deposit before
PBCHA
approves the
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When the process is complete, PBCHA will notify you to pick-up your Move-In Authorization.
DO NOT MOVE INTO THE UNIT OR SIGN A LEASE UNTIL YOU RECEIVE THIS
AUTHORIZATION.
Once you receive your move-in authorization, you can sign the lease with the landlord and move
into your new home. PBCHA will prepare the HAP contract for signatures and send the contract
to the landlord. The landlord will be asked to return a signed copy of the lease and the HAP
contract. The lease must include the required HUD lease addendum. A sample of the lease
addendum is on page 43 of this booklet. Once the signed documents are returned to PBCHA,
payment will begin to the landlord. The effective date of the lease and the HAP contract is the
date shown on your Move-In Authorization.
How Your Rent is Set
Determining Your Income
In the HCV program, the amount of rent you pay is generally a percentage of your income. So,
the first step in setting your rent is determining your income. You are required to report all
money you receive from all sources, including government benefits, child support, family gifts
and any assets, for each family member. Your income is determined using your gross income,
not your net income.
Determining Your Adjusted Income
You may be eligible for some annual deductions. See potential deductions on the next page.
Your adjusted income is determined by subtracting the deductions from your gross annual
income. The chart below shows types of deductions.
Dependent
Applies to children under the age of 18.
Elderly and Disabled
Family
Applies if the Head of Household or Spouse is over 62 or
disabled.
Childcare
Applies if the child is under 13 and it enables an adult to
work or go to college. You cannot get this deduction if
the childcare is paid for by another agency.
Medical and Disability
Applies if the Head of Household or Spouse is over 62 or
disabled. The cost of the expenses must exceed 3% of
your annual income and the expense must not be paid by
insurance, Medicare, Medicaid or another agency.
Do NOT move
into the unit or
you receive
your Move-In
Authorization.
You are
required to
report ALL
income from
ALL sources,
member.
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TTP will be the
higher of:
10%
of gross monthly
income
or
Determining Your Total Tenant Payment
PBCHA will determine the minimum amount you must contribute toward rent and utilities. This
amount is called a total tenant payment or TTP. Your TTP is calculated using a formula based on
your income. Your TTP will be the higher of the following:
10% of your gross monthly income or
30% of your adjusted monthly income or
Minimum rent of $50.00
Below is an example of how TTP is calculated when the family’s monthly gross income is $800
and their monthly adjusted income is $700. The TTP is the higher of:
The highest number
in the formula is $210
Rent the Landlord Charges
The landlord will request a rent amount. PBCHA will compare the landlords request to its database
to determine if the rent is reasonable. If PBCHA determines the rent the landlord requests is not
reasonable, PBCHA will negotiate a rent amount that is reasonable. If the landlord does not agree
to a reasonable amount, the unit will not be approved for the HCV program. The amount of the
rent the landlord charges for the unit is called the contract rent.
of adjusted
monthly income
minimum rent
As the highest number in this formula is $210, the TTP is $210.
If the landlord
unit will NOT
be approved
for the HCV
program.
Monthly gross income = $800
10% of $800 = $80
Monthly adjusted gross income = $700
30% of $700 = $210
Minimum rent is $50
$50
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Utility Allowance
PBCHA establishes utility allowances to assure that your payment for rent and utilities is
affordable. The amount of the utility allowance is based on the size and type of unit. The
allowance is based on an average use of each utility. These allowances are reviewed once a year
to make adjustments for changes in the cost of each utility. The amount of your utility allowance
depends on which utilities you are responsible for paying, the size of your unit, the type of your
unit and the type of utilities.
Maximum Subsidy Amount - Payment Standards
PBCHA establishes the maximum amount of subsidy it will pay by unit size. The
maximums
are known as Payment Standards. Payment Standards are determined annually
based on Small Area Fair
Market Rents published by HUD.
Housing Assistance Payment Calculation
The Housing Assistance Payment (HAP) is the amount of the rent PBCHA pays to the landlord.
The HAP payment is the lower of:
Payment StandardTTP or
Gross Rent (Contract Rent plus the Utility Allowance) TTP
Below is an example of how HAP is calculated.
Example:
The family qualifies for a 2-bedroom unit.
The Payment Standard for a 2-bedroom unit is $789.
The utility allowance (UA) for the unit the family selected is $112.
The
contract rent (CR) for the unit is $650.
The TTP is $210.
The HAP is the lower of:
Payment Standard ($789) - TTP ($210) $789 - $210 = $579
Gross Rent is CR $650 + UA $112 ($762) - TTP ($210) $762 - $210 = $552
As the lowest number in this formula is $552, the HAP is $552.
The lowest
number
in the
formula is
$552.
Utility
a year.
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The Rent You Pay to the Landlord
The rent you pay to the landlord depends on the amount of the gross rent. If the gross rent is less
than the Payment Standard, you pay the difference between the HAP and the contract rent.
Continuing from the previous example where the HAP was determined to be $552, below shows
how the HAP is used to calculate the amount of rent you pay to the landlord.
Example:
The family qualifies for a 2-bedroom unit.
The Payment Standard for a 2-bedroom unit is $789.
The utility allowance (UA) for the unit the family selected is $112.
The
contract rent (CR) for the unit is $650.
The HAP is $552.
If the gross rent exceeds the Payment Standard, you still pay the difference between the contract
rent and the HAP; however, your TTP (rent to owner plus utility allowance) may not exceed
40%
of your monthly adjusted income at initial move-in. If your payments exceed 40% of your
monthly adjusted income, you WILL NOT be allowed to rent the unit you selected.
Which is less?
Payment Standard ($789)
Gross Rent ($762) CR $650 + UA $112
The gross rent is less than the Payment Standard, so you pay the difference
between the HAP and the contract rent as shown below.
Rent to Owner, CR ($650) - HAP ($552)
$650 - $552 = $98
Your total
payment may
NOT exceed
40% of your
monthly
adjusted
income at
initial move-in.
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Below is an example of how the difference between the HAP and the contract rent can exceed
the
maximum amount the family can pay.
Example:
The family qualifies for a 2-bedroom unit.
The Payment Standard for a 2-bedroom unit is $789.
The utility allowance (UA) for the unit the family selected is $112.
The
contract rent (CR) for the unit is $750.
The HAP is $579.
The gross rent exceeds
the Payment Standard.
The gross rent exceeds the Payment Standard. So, you pay the difference
between the contract rent and the HAP; however, your TTP (rent to
owner plus utility allowance) MAY NOT exceed 40% of your monthly
adjusted income at initial move-in.
Rent to Owner, CR ($750) - HAP ($579) $171
Family’s Monthly Adjusted Income ($700)
$700
40% of Monthly Adjusted Income ($700 x .40)
$280
Maximum Rent to Landlord ($280 - UA $112)
$
168
The difference
between the HAP and
the contract rent,
$171, is higher than
the maximum rent to
landlord, $168.
The family is not allowed to rent this unit because the difference
between the HAP and the contract rent exceeds the maximum amount
of rent the family may pay to the landlord.
After You Move In
Your Lease and Voucher Requirements
After you move in, you will be required to comply with the terms of your lease, your voucher and
PBCHA policies and procedures. If you do not comply with these requirements, you may lose
your voucher assistance.
Annual Re-examination
Each year PBCHA will conduct an annual re-examination of your family. You will be required
to report any changes in your family members and all income for each family member. It is
important that you provide complete and correct information.
annual
process on
time to avoid
interruptions
in your
assistance.
Payment Standard ($789)
$789
Gross Rent ($862) CR $750 + UA $112
$862
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PBCHA will verify all the information you provide using state and federal databases. More
information on these databases is provided on pa
ge 47 of this booklet. Once the information
is
verified, PBCHA will determine your rent amount. If the amount changes, both you and your
landlord will be notified in writing. It is important that you complete the annual process on time
to avoid any interruptions in your voucher assistance.
Annual Inspections
Your unit must be inspected at least bi-annually to make sure it meets the Housing Quality
Standards.
PBCHA will schedule the inspection and send you written notice of the inspection.
You or an
adult family member must be present for the inspection. You and your family will be
responsible
for repairing damage to your unit that is beyond normal wear and tear. You must
allow the
inspection or you may lose your housing assistance.
Reporting Changes to Your Family or Income
You must report all changes in your household members or income within 15 days. PBCHA
must
approve the addition of any one living in your unit. You must report changes in income
for any
family member within 15 days. If the change in income changes your rent, both you and
your
landlord will be notified in writing. If you do not report changes to who is living in your
unit or
changes in your income, you may lose your housing assistance or you may have to repay
money
to PBCHA.
Changes to Your Lease or Rent
Your landlord may not change the terms of your lease or your rent without notifying PBCHA. If
your landlord asks you to change your lease, contact PBCHA. At the end of the lease, the landlord
may request a rent increase. Your landlord must request a rent increase, in writing, 60 days
before
the lease ends. PBCHA must approve the rent increase before the landlord can charge a
higher
amount.
Requesting an Inspection
If you have a serious complaint about the condition of your unit, tell your landlord or property
manager immediately. If your complaint is not addressed and you would like PBCHA to conduct a
complaint inspection,contact PBCHA.
Report ALL
changes in
your household
members or
income within
15 days.
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If PBCHA determines that the landlord or property manager did not respond to your complaint
in a reasonable period of time and the complaint indicates a Housing Quality Standards (HQS)
deficiency, PBCHA will schedule your apartment or house for a complaint inspection.
Moving to Another Unit
Generally, you may move to another unit at the end of the first year when your lease ends. You
must provide written notice to your landlord and PBCHA at least 30 days in advance unless your
lease requires longer notice. Once you have provided notice, PBCHA will issue a voucher to you
so you can start a new search.
Moving to a new home can be expensive and difficult, even if you aren’t moving very far. Here
are some things to think about when deciding if you should move.
Apartment application fee(s)
Storage space
Rental security deposits
Cleaning supplies
Telephone, water, electrical, and other utilities
Carpet cleaning
Hiring movers
Time off from work
Truck rental costs
A new childcare provider
Gasoline and other travel expenses
New school registration
New furniture and/or appliances
You may also end up with rent overlap” if you move too soon. If you move into a new unit
before the lease at your old unit ends, you will have to pay for the full rental amount.
You may be allowed to move before your lease ends if you and your landlord agree to break the
lease, if your landlord violates the agreement with PBCHA, if your unit no longer meets Housing
Quality Standards and you did not cause the damage, if you are a victim of domestic violence
or if you are being threatened because you are a cooperating witness to a crime. To be allowed
to move in any of these situations, you will have to provide documents that prove the situation
applies to you. You may only move to a different unit once a year.
Moving to a
be expensive
and difficult,
even if you
aren’t moving
very far.
If you move
before the
lease ends,
you will have
to pay the full
rental amount.
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Portability
Once you have lived in your unit for a year, you can use your voucher to lease a unit anywhere
in the United States where there is an HCV program. If you would like to move to another area,
you need to inform PBCHA at least 60 days before your lease expires. You will have to know
where you want to move. PBCHA will contact the Housing Authority in the area you
choose
and issue a voucher to you. PBCHA will give you the contact information of the Housing
Authority in the new area. It is very important that you contact the new Housing Authority as
soon as possible.
The new Housing Authority will issue one of their vouchers to you once you arrive. At this
point,
the rules that have been established by the new Housing Authority apply to your search. This
includes determining the size of your voucher, the maximum amount of the payment, eligibility
for voucher extensions and a variety of other issues. It is important that you
understand all of
the new Housing Authority’s requirements because it can affect your ability
to lease a unit. If
your voucher expires before you lease a unit, you will no longer be eligible for
voucher assistance
in PBCHA’s program. If you change your mind and want to return, you must
inform PBCHA
before your voucher expires.
The new Housing Authority may choose to absorb you into their program. This means that
you will now be subject to all the rules and regulations of the new Housing Authority.
Your Rights and Responsibilities
Your Responsibilities Family Obligations
In the HCV program, you have certain responsibilities. These responsibilities are called
family
obligations. If you and your family do not comply with the requirements of the family
obligations, you may lose your voucher. On the following pages are family obligations in two
groups; things the family MUST DO and things the family MUST NOT DO.
If you and
your family
don’t comply
with the
requirements
of the family
obligations,
you may lose
your voucher.
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Under the HCV Program family’s obligations, the family MUST:
Supply any information that PBCHA or HUD determines to be necessary, including
evidence of citizenship or eligible immigration status and information for use in a
regularly scheduled re-examination or interim re-examination of family income
and members (all information the family supplies must be true and complete)
Disclose and verify social security numbers, and sign and submit consent forms
for obtaining information
Supply any information requested by PBCHA to verify that the family is living in the
unit or information related to the family’s absence from the unit
Promptly notify PBCHA in writing when the family is away from the unit for an
extended period of time in accordance with PBCHA policies
Allow PBCHA to inspect the unit at reasonable times and after reasonable notice
Notify PBCHA and the owner in writing before moving out of the unit or
terminating the lease
Use the assisted unit for residence by the family (the unit must be the family’s
only residence)
Promptly notify PBCHA in writing of the birth, adoption or court-awarded custody
of a child
Request PBCHA written approval to add any other family member as an occupant
of the unit
Promptly notify PBCHA in writing if any family member no longer lives in the unit
Give PBCHA a copy of any landlord eviction notice
Pay utility bills, and provide and maintain any appliances that the owner is not
required to provide under the lease
You MUST pay
provide and
maintain any
appliances
that the owner
is not required
to provide
under the
lease.
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Under the HCV Program family’s obligations, the family (including each family member) MUST NOT:
Own or have any interest in the unit (other than in a cooperative or the owner
of a manufactured home or leasing a manufactured home space)
Commit any serious or repeated violation of the lease
Commit fraud, bribery or any other corrupt or criminal act in connection with
the program
Engage in drug-related criminal activity or violent criminal activity, or other
criminal activity that threatens the health, safety or right to peaceful enjoyment
of other residents and persons residing in the immediate vicinity of the
premises
Sublease the unit, or assign the lease or transfer the unit
Receive HCV program housing assistance while receiving another housing
subsidy for the same unit or a different unit under any other federal, state or
local housing assistance program
Damage the unit or premises (other than damage from ordinary wear and tear)
or permit any guest to damage the unit or premises
Receive HCV program assistance while residing in a unit owned by a parent,
child,
grandparent, grandchild, sister or brother or any member of the family unless
PBCHA has determined (and has notified the owner and the family of such
determination) that approving rental of the unit, notwithstanding such
relationship, would provide reasonable accommodation for a family member
who is a person with disabilities
Engage in abuse of alcohol in a way that threatens the health, safety or right to
peaceful enjoyment of the other residents and persons residing in the
immediate
vicinity of the premises
You MUST
NOT damage
the unit or
premises
or permit
any guest
to damage
the unit or
premises.
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Your Rights Informal Hearing Procedure
Reasons for an Informal Hearing
PBCHA has an informal hearing procedure for you to dispute certain decisions about
your voucher assistance. You may request an informal hearing to consider whether a
PBCHA decision about your circumstances was made in accordance with the law,
HUD regulations, and PBCHA policies. You may request an informal hearing for the
following types of PBCHA decisions:
Determination of the household’s annual or adjusted income, and the use of
such income to compute the housing assistance payment
Determination of the appropriate utility allowance (if any) for the family-paid
utilities from PBCHA’s utility allowance schedule
Determination of the family’s unit size under PBCHA’s Subsidy Standards
Determination to terminate assistance to a participant because of a participant’s
action or failure to act
Determination to terminate assistance because the participant has been absent
from the assisted unit for longer than the maximum period permitted under
PBCHA policy and HUD rules
PBCHA is NOT required to provide an opportunity for an informal hearing in the following
instances:
Discretionary administrative determinations by PBCHA
General policy issues or class grievances
Establishment of PBCHA’s schedule of utility allowances for participants in the
program
Determination not to approve an extension or suspension of a voucher
con’t on next page
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Determination not to approve a rental unit or lease
Determination that an assisted rental unit is not in compliance with Housing
Quality Standards
Determination that a rental unit is not in compliance with Housing Quality
Standards because of family size
Determination not to exercise any right to remedy against the landlord under a
HAP contract
Requesting an Informal Hearing
You must request an informal hearing in writing, within 15 business days of PBCHA’s
decision. You may request an informal hearing by sending your request, in writing,
to Palm Beach County Housing Authority, Housing Choice Voucher Program
Hearing Officer,
3432 W. 45
th
Street
, West Palm Beach, Florida 33407.
Informal Hearing Notifications and Procedures
Once you request an informal hearing, and it qualifies for an informal hearing
opportunity, PBCHA will send you a letter. The letter will tell you if your request
qualifies for a hearing. If your request qualifies for a hearing, the letter will inform
you
of the time, date, and place that the hearing will take place and the following
information about the informal hearing process:
At your own expense, you may be represented by a lawyer or other
representative
The person conducting the informal hearing will conduct the meeting according
to PBCHA’s established procedures
Both you and PBCHA will be given the opportunity to present evidence, and may
question any witnesses, but the rules of evidence for judicial proceedings are not
applicable
The person conducting the review will issue a written decision briefly stating
the reasons for the decision. Factual determinations relating to the individual
circumstances of you and your family shall be based on evidence presented at
the hearing. A copy of the decision shall be furnished promptly to you.
requests must
be in writing.
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Your Rights during the Foreclosure of a Rental Property
If you are living in a unit that receives a notice of foreclosure, federal law requires that the new owner
allow you to stay until the end of your current lease, unless the new owner is going to live in the house.
Your Rights if You are a Victim of Domestic Violence
The Violence Against Women Act (VAWA) protects victims of domestic violence, dating violence, or
stalking. If you are a victim of domestic violence, you cannot be denied voucher assistance, be evicted
or lose your voucher assistance as a result of that violence. The following is an overview of VAWA
requirements.
Eligibility Protection
PBCHA may not deny assistance or admission to an
applicant on the basis of the applicant’s current or
past status as a victim of domestic violence, dating
violence, or stalking if the applicant otherwise
qualifies for assistance or admission
Protection from
Eviction or Assistance
Termination
PBCHA may not terminate assistance to a participant
in the HCV program on the basis of an incident or
incidents of actual or threatened domestic violence,
dating violence, or stalking against that participant
Eviction of
Perpetrators
PBCHA may terminate assistance to any individual
who is a tenant or lawful occupant and who engages
in criminal acts of physical violence against family
members or others. This action may be taken without
evicting, removing, terminating assistance to, or
otherwise penalizing the victim of the violence who is
also a tenant or lawful occupant
Certification
A landlord, property manager, or PBCHA may ask
that an individual certify, using a HUD-approved
certification form or other documentation, that the
individual is a victim of domestic violence, dating
violence, or stalking, and that the incident in question
is a true incident of actual or threatened abuse
Confidentiality
All information provided to a landlord, property
manager, or PBCHA under VAWA must be retained in
confidence, unless disclosure is requested or
consented to by the individual in writing, or required
for use in an eviction proceeding or termination of
assistance, or otherwise required by applicable law
For more details
about VAWA
and the rights
of victims
of domestic
violence, refer to
the Notice and
Certification form
on page 58 of
this booklet.
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21
Termination of Your Voucher
PBCHA may terminate voucher assistance for a family because of the family’s action or failure to
act. PBCHA’s policies for the termination of assistance are as follows:
The following circumstances require MANDATORY termination of voucher assistance:
Eviction from a unit for a serious or repeated violation of the lease
Failure of any family member to sign and submit any consent form required for
re-examination
Failure to document citizenship
Failure to disclose and document Social Security numbers
Conviction of any household member of the manufacture or production of
methamphetamine on the premises of federally assisted housing
Failure of students to meet ongoing eligibility requirements
Death of the sole family member
Lifetime registration of any household member under a state sex offender
registration program
Engagement of any household member in any illegal use of a drug or has a
pattern of illegal drug or alcohol use that interferes with the health, safety or
right to peaceful enjoyment of the premises by other residents
Violation of the family’s obligation not to engage in any drug-related or violent
criminal activity during participation in the HCV program
If PBCHA provides no HCV assistance for 180 consecutive calendar days,
because the family’s income has increased, the family’s assistance terminates
automatically.
The family may request that PBCHA terminate their assistance at any time.
Palm Beach County Housing Authority
HCV Family Briefing Booklet
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The following are other circumstances PBCHA may terminate a family’s assistance:
The family violates any family obligations
Any member of the family has been evicted from federally assisted housing in
the last five years
Assistance has ever been terminated under the program for any member of the
family
Any member of the family has committed fraud, bribery or any other corrupt
or criminal act in connection with any Federal housing program
The family currently owes rent or other amounts to PBCHA or to another
housing authority in connection with Section 8 or public housing assistance
under the 1937 Housing Act
The family has not reimbursed any housing authority for amounts paid to a
landlord under a HAP contract for rent, damages to the unit or other amounts
owed by the family under the lease
The family breaches an agreement with PBCHA to pay amounts owed to PBCHA
The family has engaged in or threatened abusive or violent behavior toward
PBCHA personnel
Abusive or violent behavior towards PBCHA personnel includes verbal, as well
as physical, abuse or violence
Use of racial epithets or other language, written or oral, that is customarily
used to intimidate may be considered abusive or violent behavior
Threatening refers to oral or written threats or physical gestures that
communicate intent to abuse or commit violence
The entire family is absent from the unit for more than 30 consecutive calendar
days
PBCHA determines there is a shortage of funding
The family fails to keep an appointment or to supply information required by a
deadline without notifying PBCHA
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Source: Avalanche Consulting/US Census Bureau
Palm Beach County Area Map of Low Minority Concentration
wpb.org › west-palm-beach-competitive-assessment-final-08-09-18-min (page 63)
PBCHA encourages you to search for a home in an area that does not contain a concentration of poverty.
Racially/Ethnically Poverty Distribution by Census Tract, March 2016
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1.
Living Room
The Living Room must have:
Ceiling
A ceiling that is in good condition.
Not acceptable are large cracks or holes that allow drafts, severe bulging, large amounts of loose
or falling surface material such as plaster.
Walls
Walls that are in good condition.
Not acceptable are large cracks or holes that allow drafts, severe bulging or leaning, large
amounts of loose or falling surface material such as plaster.
Electricity
At least two electric outlets, or one outlet and one permanent overhead light fixture.
Do not count table or floor lamps, ceiling lamps plugged into a socket, and extension cords: they are
not permanent.
Not acceptable are broken or frayed wiring, light fixtures hanging from wires with no other firm
support (such as a chain), missing cover plates on switches or outlets, badly cracked outlets.
Floor
A floor that is in good condition.
Not acceptable are large cracks or holes, missing or warped floorboards or covering that could
cause someone to trip.
Window
At least one window. Every window must be in good condition.
Not acceptable are windows with badly cracked, broken or missing panes, and windows that do
not shut or, when shut, do not keep out the weather.
Lock
A lock that works on all windows and doors that can be reached from the outside, a common public
hallway, a fire escape, porch or other outside place that cannot be reached from the ground. A
window
that cannot be opened is acceptable.
Paint
No peeling or chipping paint if you have children under the age of seven and the house or
apartment was built before 1978.
You should also think about:
The types of locks on windows and doors
-- Are they safe and secure?
-- Have windows that you might like to open been nailed shut?
The condition of the windows.
-- Are there small cracks in the panes?
The amount of weatherization around doors and windows.
-- Are there storm windows?
-- Is there weather stripping? If you pay your own utilities, this may be important.
The location of electric outlets and light fixtures.
The condition of the paint and wallpaper
-- Are they worn, faded, or dirty?
The condition of the floor.
-- Is it scratched and worn?
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HCV Family Briefing Booklet
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2.
Kitchen
The Kitchen must have:
Ceiling
A ceiling that is in good condition.
Not acceptable are large cracks or holes that allow drafts, severe bulging, large amounts of loose
or falling surface material such as plaster.
Storage
Some space to store food.
Electricity
At least one electric outlet and one permanent light fixture.
Do not count table or floor lamps, ceiling lamps plugged into a socket, and extension cards; they are
not permanent.
Not acceptable are broken or frayed wiring, light fixtures hanging from wires with no other firm
support (such as a chain), missing cover plates on switches or outlets, badly cracked outlets.
Stove and Oven
A stove (or range) and oven that works (This can be supplied by the tenant)
Floor
Ceiling
Refrierator
Not acceptable are large cracks or holes, missing or warped floorboards or covering that could cause
someone to trip.
Preparation Area
Some space to prepare food.
Paint
No peeling or chipping paint if you have children under the age of seven and the house or apartment
was built before 1978.
Window
If there is a window, it must be in good condition.
Lock
A lock that works on all windows and doors that can be reached from the outside, a common public
hallway, a fire escape, porch or other outside place that can be reached from the ground. A window
that cannot be opened is acceptable.
Walls
Walls that are in good condition.
Not acceptable are large cracks or holes that allow drafts, severe bulging or leaning, large
amounts of loose or falling surface material such as plaster.
Serving Area
Some space to serve food.
A separate dining room or dining area in the living room is all right.
Refrigerator
A refrigerator that keeps temperatures low enough so that food does not spoil. (This can be supplied
by
the tenant.)
Sink
A sink with hot and cold running water.
Walls
A bathroom sink will not satisfy this requirement.
You should also think about:
The size of the kitchen.
The amount, location, and condition of space to store, prepare, and serve food. Is it adequate for
the size of your family?
The size, condition, and location of the refrigerator. Is it adequate for the size of your family?
The size, condition, and location of your sink.
Other appliances you would like provided.
Extra outlets.
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3.
Bathroom
The Bathroom must have:
Ceiling
A ceiling that is in good condition.
Not acceptable are large cracks or holes that allow drafts, severe bulging, large amounts of loose
or falling surface material such as plaster.
Window
A window that opens or a working exhaust fan.
Lock
A lock that works on all windows and doors that can be reached from the outside, a common public
hallway, a fire escape, porch or other outside place that can be reached from the ground.
Toilet
A flush toilet that works.
Tub or Shower
A tub or shower with hot and cold running water.
Floor
A floor that is in good condition.
Not acceptable are large cracks or holes, missing or warped floorboards or covering that could
cause someone to trip.
Paint
No chipping or peeling paint if you have children under the age of seven and the house or
apartment was built before 1978.
Walls
Walls that are in good condition.
Not acceptable are large cracks or holes that allow drafts, severe bulging or leaning, large
amounts of loose or falling surface such as plaster.
Electricity
At least one permanent overhead or wall light fixture.
Not acceptable are broken or frayed wiring, light fixtures hanging from wires with no other firm
support (such as a chain), missing cover plates on switches or outlets, badly cracked outlets.
Sink
A sink with hot and cold running water.
A kitchen sink will not satisfy this requirement.
You should also think about:
The size of the bathroom and the amount of privacy.
The appearances of the toilet, sink, and shower or tub.
The appearance of the grout and seal along the floor and where the tub meets the wall.
The appearance of the floor and walls.
The size of the hot water heater.
A cabinet with a mirror.
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4.
Other Rooms
Other rooms that are lived in include: bedrooms, dens, halls, and finished basements or enclosed,
heated porches. The requirements for other rooms that are lived in are similar to the requirements for
the living room as explained below.
Other Rooms Used for Living must have:
Ceiling
A ceiling that is in good condition.
Not acceptable are large cracks or holes that allow drafts, severe bulging, large amounts of loose
or falling surface material such as plaster,
Walls
Walls that are in good condition.
Not acceptable are large cracks or holes that allow drafts, severe bulging or leaning, large
amounts of loose or falling surface material such as plaster.
Paint
No chipping or peeling paint if you have children under the age of seven and the house or
apartment was built before 1978.
Electricity in Bedrooms
Same requirement as for living room.
In All Other Rooms Used for Living: There is no specific standard for electricity, but there must be
either natural illumination (a window) or an electric light fixture or outlet.
Floor
A floor that is in good condition.
Not acceptable are large cracks or holes, missing or warped floorboards or covering that could
cause someone to trip.
Lock
A lock that works on all windows and doors that can be reached from the outside, a common public
hallway, a fire escape, porch or other outside place that can be reached from the ground.
Window
At least one window, which must be openable if it was designed to be opened, in every rooms used
for sleeping. Every window must be in good condition.
Not acceptable are windows with badly cracked, broken or missing panes, and windows that do
not shut or, when shut, do not keep out the weather.
Other rooms that are not lived in may be: a utility room for washer and dryer, basement or porch.
These must be checked for security and electrical hazards and other possible dangers (such as walls
or ceilings in danger of falling), since these items are important for the safety of your entire apartment.
You should also look for other possible dangers such as large holes in the walls, floors, or ceilings,
and
unsafe stairways. Make sure to look for these things in all other rooms not lived in.
You should also think about:
What you would like to do with the other rooms.
-- Can you use them the way you want to?
The type of locks on windows and doors.
-- Are they safe and secure?
-- Have windows that you might like to open been nailed shut?
The condition of the windows.
-- Are there small cracks in the panes?
The amount of weatherization windows.
-- Are there storm windows?
-- Is there weather-stripping? If you pay your own utilities, this may be important.
The location of electric outlets and light fixtures.
The condition of the paint and wallpaper
-- Are they worn, faded, or dirty?
The condition of the floors.
-- Are they scratched and worn?
Floor
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5.
Building Exterior,
Plumbing, and Heating
The Building must have:
Roof
A roof in good condition that does not leak, with gutters and downspouts, if present, in good condition
and securely attached to the building.
Evidence of leaks can usually be seen from stains on the ceiling inside the building.
Outside Handrails
Secure handrails on any extended length of stairs (e.g. generally four or more steps) and any
porches,
balconies, or decks that are 30 inches or more above the ground.
Walls
Exterior walls that are in good condition, with no large holes or cracks that would let a great amount of
air
get inside.
Foundation
A foundation in good condition that has no serious leaks.
Water Supply
A plumbing system that is served by an approvable public or private water supply system. Ask the
manager
or owner.
Sewage
A plumbing system that in connected to an approvable public or private sewage disposal system. Ask
the
manager or owner.
Chimneys
No serious leaning or defects (such as big cracks or many missing bricks) in any chimneys.
Paint
No cracking, peeling, or chipping paint if you have children under the age of seven and the house or
apartment was built before 1978.
This includes exterior walls, stairs, decks, porches, railings, windows, and doors.
Cooling
Some windows that open, or some working ventilation or cooling equipment that can provide air
circulation during warm months.
Plumbing
Pipes that are in good condition, with no leaks and no serious rust that causes the water to be
discolored.
Water Heater
A water heater located, equipped, and installed in a safe manner. Ask the manager.
Heat
Enough heating equipment so that the unit can be made comfortably warm during cold months.
Not acceptable are space heaters (or room heaters) that burn oil or gas and are not vented to a
chimney. Space heaters that are vented may be acceptable if they can provide enough heat.
You should also think about:
How well maintained the apartment is.
The type of heating equipment.
--Will it be able to supply enough heat for you in the winter, to all rooms used for living?
The amount and type of weatherization and its affect on utility costs.
-- Is there insulation?
-- Are there storm windows?
-- Is there weather-stripping around the windows and doors?
Air circulation or type of cooling equipment (if any).
-- Will the unit be cool enough for you in the summer?
Note: You may not be able to
check these items yourself,
but the PHA Inspector
will
check them for you when the
unit is inspected.
Heater
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6.
Health and Safety
The Building and Site must have:
Smoke
Detectors
At least one working smoke detector on each level of the unit, including the basement. If any member
of your family is hearing-impaired, the smoke detector must have an alarm designed for hearing-
impaired persons.
Fire Exits
The building must provide an alternate means of exit in care of fire (such as fire stairs or exit through
windows, with the use of a ladder if windows are above the second floor).
Elevators
Make sure the elevators are safe and work properly.
Entrance
An entrance from the outside or from a public hall, so that it is not necessary to go through anyone
else's
private apartment to get into the unit.
Neighborhood
No dangerous places, spaces, or things in the neighborhood such as:
Nearby buildings that are falling down
Unprotected cliffs or quarries
Fire hazards
Evidence of flooding
Garbage
No large piles of trash and garbage inside or outside the unit, or in common areas such as hallways.
There must be a space to store garbage (until pickup) that is covered tightly so that rats and other
animals cannot get into it. Trash should be picked up regularly.
Lights
Lights that work in all common hallways and interior stairs.
Stairs and Hallways
Interior stairs with railings, and common hallways that are safe and in good condition. Minimal
cracking, peeling or chipping in these areas.
Pollution
No serious air pollution, such as exhaust fumes or sewer gas.
Rodents and Vermin
No sign of rats or large numbers of mice or vermin (like roaches).
For Manufactured Homes: Tie Downs
Manufactured homes must be place on the site in a stable manner and be free from hazards such as
sliding or wind damage.
You should also think about:
The type of fire exit.
--Is it suitable for your family?
How safe the house or apartment is for your family.
The presence of screens and storm windows.
Services in the neighborhood.
--Are there stores nearby?
--Are there schools nearby?
--Are there hospitals nearby?
--Is there transportation nearby?
Are there job opportunities nearby?
Will the cost of tenant-paid utilizes be affordable and is the unit energy-efficient?
Be sure to read the lead-based paint brochure give to you by the PHA or owner, especially if the
housing or apartment is older (built before 1978).
Note: Y ou may not be able to
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A Good Place
Now that you have finished this booklet, you know that for a house or apartment to be a good place to
live, it must meet two kinds of housing quality standards:
Things it must have in order to be approved for the Section 8 Rental Certificate Program and the
Rental Voucher Program.
Additional things that you should think about for the special needs of your family.
You know that these standards apply in six areas of a house or apartment.
1. Living Room
2. Kitchen
3. Bathroom
4. Other Rooms
5. Building Exterior, Plumbing and Heating
6. Health and Safety
You know that when a house or apartment meets the housing quality standards, it will be safe,
healthy, and comfortable home for your family. It will be a good place to live.
After you find a good place to live, you can begin the Request for Lease Approval process. When
both you and the owner have signed the Request for Lease Approval and the PHA has received it, an
official inspection will take place. The PHA will inform both you and the owner of the inspection results.
If the house or apartment passed, a lease can be signed. There may still be some items that you or
the PHA would like improved. If so, you and your PHA may be able to bargain for the improvements
when you sign the lease. If the owner is not willing to do the work, perhaps you can get him or her to
pay for the materials and do if yourself.
It the house or apartment fails, you and/or your PHA may try to convince the owner to make the
repairs
so it will pass. The likelihood of the owner making the repairs may depend on how serious or
costly
they are.
If it fails, all repairs must be made, and the house or apartment must be re-inspected before any
lease
is signed. If the owner cannot or will not repair the house or apartment, even if the repairs are
minor,
you must look for another home. Make sure you understand why the house or apartment
failed, so
that you will be more successful in your next search.
Responsibilities of the Public Housing Authority:
Ensure that all units in the Section 8 Certificate Program and the Housing Voucher Program meet
the housing quality standards.
Inspect unit in response to Request for Lease Approval. Inform potential tenant and owner of
results and necessary actions.
Encourage tenants and owners to maintain units up to standards.
Make inspection in response to tenant or owner complaint or request. Inform the tenant and owner
of the results, necessary actions, and time period for compliance.
Make annual inspection of the unit to ensure that it still meets the housing quality standards.
Inform the tenant and owner of the results, necessary actions, and time period for compliance.
Responsibilities of the tenant:
Live up to the terms of your lease.
Do your part to keep the unit safe and sanitary.
Cooperate with the owner by informing him or her of any necessary repairs.
Responsibilities of the owner:
Cooperate with the PHA for initial, annual, and complaint inspections.
Comply with the terms of the lease.
Generally maintain the unit and keep it up to the housing quality standards outlined in this booklet.
Cooperate with the tenant by responding promptly to requests for needed repairs.
Cooperate with the PHA on initial, annual, and complaint inspections, including making necessary
repairs.
to Live!
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1
2
3
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6
Are You a
Victim of
Housing
Discrimination?
Fair Housing is Your Right!
If you have been denied your
housing rights…you may have
experienced unlawful discrimin
a-
tion.
U.S. Department of Housing and Urban Development
Palm Beach County Housing Authority HCV Family Brieifing Booklet 36
For Connecticut, Maine, Massachusetts,
New Hampshire, Rhode Island, and Vermont:
NEW ENGLAND OFFICE
Fair Housing Hub
U.S. Dept. of Housing and Urban Development
Thomas P. O’Neill, Jr. Federal Building
10 Causeway Street, Room 321
Boston, MA 02222-1092
Telephone (617) 994-8320 or 1-800-827-5005
Fax (617) 565-7313 • TTY (617) 565-5453
E-mail:
Complaints_office_01@hud.gov
For New Jersey and New York:
NEW YORK/NEW JERSEY OFFICE
Fair Housing Hub
U.S. Dept. of Housing and Urban Development
26 Federal Plaza, Room 3532
New York, NY 10278-0068
Telephone (212) 264-1290 or 1-800-496-4294
Fax (212) 264-9829 • TTY (212) 264-0927
E-mail:
Complaints_office_02@hud.gov
For Delaware, District of Columbia, Maryland,
Pennsylvania, Virginia, and West Virginia:
MID-ATLANTIC OFFICE
Fair Housing Hub
U.S. Dept. of Housing and Urban Development
The Wanamaker Building
100 Penn Square East
Philadelphia, PA 19107
Telephone (215) 656-0663 or 1-888-799-2085
Fax (215) 656-3419 • TTY (215) 656-3450
E-mail:
Complaints_office_03@hud.gov
For Alabama, the Caribbean, Florida, Georgia, Kentucky, Missis-
sippi, North Carolina, South Carolina, and Tennessee:
SOUTHEAST/CARIBBEAN OFFICE
Fair Housing Hub
U.S. Dept. of Housing and Urban Development
Five Points Plaza
40 Marietta Street, 16th Floor
Atlanta, GA 30303-2808
Telephone (404) 331-5140 or 1-800-440-8091
Fax (404) 331-1021 • TTY (404) 730-2654
E-mail:
Complaints_office_04@hud.gov
For Illinois, Indiana, Michigan, Minnesota,
Ohio, and Wisconsin:
MIDWEST OFFICE
Fair Housing Hub
U.S. Dept. of Housing and Urban Development
Ralph H. Metcalfe Federal Building
77 West Jackson Boulevard, Room 2101
Chicago, IL 60604-3507
Telephone (312) 353-7776 or 1-800-765-9372
Fax (312) 886-2837 • TTY (312) 353-7143
E-mail:
Complaints_office_05@hud.gov
WHERE TO MAIL YOUR FORM OR
INQUIRE ABOUT YOUR CLAIM
To file electronically, visit: www.hud.gov
For Arkansas, Louisiana, New Mexico, Oklahoma, and Texas:
SOUTHWEST OFFICE
Fair Housing Hub
U.S. Dept. of Housing and Urban Development
801 North Cherry, 27th Floor
Fort Worth, TX 76102
Telephone (817) 978-5900 or 1-888-560-8913
Fax (817) 978-5876 or 5851 • TTY (817) 978-5595
E-mail:
Complaints_office_06@hud.gov
For Iowa, Kansas, Missouri and Nebraska:
GREAT PLAINS OFFICE
Fair Housing Hub
U.S. Dept. of Housing and Urban Development
Gateway Tower II
400 State Avenue, Room 200, 4th Floor
Kansas City, KS 66101-2406
Telephone (913) 551-6958 or 1-800-743-5323
Fax (913) 551-6856 • TTY (913) 551-6972
E-mail:
Complaints_office_07@hud.gov
For Colorado, Montana, North Dakota, South Dakota,
Utah, and Wyoming:
ROCKY MOUNTAINS OFFICE
Fair Housing Hub
U.S. Dept. of Housing and Urban Development
1670 Broadway
Denver, CO 80202-4801
Telephone (303) 672-5437 or 1-800-877-7353
Fax (303) 672-5026 • TTY (303) 672-5248
E-mail:
Complaints_office_08@hud.gov
For Arizona, California, Hawaii, and Nevada:
PACIFIC/HAWAII OFFICE
Fair Housing Hub
U.S. Dept. of Housing and Urban Development
600 Harrison Street, Third Floor
San Francisco, CA 94107-1300
Telephone (415) 489-6524 or 1-800-347-3739
Fax (415) 489-6558 • TTY (415) 436-6594
E-mail:
Complaints_office_09@hud.gov
For Alaska, Idaho, Oregon, and Washington:
NORTHWEST/ALASKA OFFICE
Fair Housing Hub
U.S. Dept. of Housing and Urban Development
Seattle Federal Office Building
909 First Avenue, Room 205
Seattle, WA 98104-1000
Telephone (206) 220-5170 or 1-800-877-0246
Fax (206) 220-5447 • TTY (206) 220-5185
E-mail:
Complaints_office_10@hud.gov
If after contacting the local office nearest you, you still have ques-
tions – you may contact HUD further at:
U.S. Dept. of Housing and Urban Development
Office of Fair Housing and Equal Opportunity
451 7th Street, S.W., Room 5204
Washington, DC 20410-2000
Telephone (202) 708-0836 or 1-800-669-9777
Fax (202) 708-1425 • TTY 1-800-927-9275
37 Palm Beach County Housing Authority
HCV Family Briefing Booklet
MAIL TO:
PLACE
POSTAGE
HERE
Public Reporting Burden for this collection of information is estimated to average 20 minutes
per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of
information.
The Department of Housing and Urban Development is authorized to collect this information
by Title VIII of the Civil Rights Act of 1968, as amended by the Fair Housing Amendments Act
of 1988, (P.L. 100-430); Title VI of the Civil Rights Act of 1964, (P.L. 88-352); Section 504 of
the Rehabilitation Act of 1973, as amended, (P.L. 93-112); Section 109 of Title I- Housing and
Community DevelopmentActof1974,asamended,(P.L.97-35); Americans with Disabilities Act of
1990,(P.L.101-336);and by the Age Discrimination Act of 1975, as amended, (42 U.S.C. 6103).
The information will be used to investigate and to process housing discrimination complaints.
The information may be disclosed to the United States Department of Justice for its use in the
filing of pattern and practice suits of housing discrimination where violence is involved; and to
State or local fair housing agencies that administer substantially equivalent fair housing laws
for complaint processing. Failure to provide some or all of the requested information will result
in delay or denial of HUD assistance.
Disclosure of this information is voluntary.
Palm Beach County Housing Authority
HCV Family Briefing Booklet
38
1
Instructions:
(Please type or print) Read this form carefully. Try to answer all questions. If you do
not know
the answer or a question does not apply to you, leave the space blank.
You have one year from the date of the alleged
discrimination to file a complaint.
Your form should be signed and dated.
Your Name
Your
Address
City
State Zip Code
Best time to call Your Daytime Phone No
Evening Phone No
Who else can we call if we cannot reach you?
Contact’s Name
Best Time to call
Daytime Phone No
Evening Phone No
Contact’s Name
Best Time to call
Daytime Phone No
Evening Phone No
What happened to you?
How were you discriminated against?
1
How were you discriminated against?
1
For example: were you refused an opportunity to rent or buy housing? Denied a loan? Told that housing was not avail-
1
For example: were you refused an opportunity to rent or buy housing? Denied a loan? Told that housing was not avail-
1
able when in fact it was? Treated differently from others seeking housing?
State briefly what happened.
Form HUD-903.1 (1/02)
OMB Approval No. 2529-0011 (exp. 1/31/2011)
HOUSING DISCRIMINATION INFORMA
TION
Departamento de Vivienda y Desarrollo Urbano Oficina de Derecho Equitativo a la Vivienda
U.S. Department of Housing and Urban Development Office of Fair Housing and Equal Opportunity
39 Palm Beach County Housing Authority
HCV Family Briefing Booklet
2
Why do you think you are a victim of housing discrimination?
Is it because of your:
2
Is it because of your:
2
2
2
race
2
race
2
color
religion
sex
national origin
familial status (families with children under 18)
disability?
For example: were you denied housing because of your
2
For example: were you denied housing because of your
2
race
? Were you denied a mortgage loan because of your
religion
? Or turned down for an apartment because you have
children
?
Briefly explain why you think your housing rights were denied and circle the factor(s) listed above that you believe
apply.
3
4
5
Who do you believe discriminated against you?
For example: was it a landlord, owner, bank, real estate agent, broker, company, or organization?
3
For example: was it a landlord, owner, bank, real estate agent, broker, company, or organization?
3
Identify who you believe discriminated against you.
3
Identify who you believe discriminated against you.
3
Name
Address
Where did the alleged act of discrimination occur?
For example: Was it at a rental unit? Single family home? Public or Assisted Housing? A Mobile Home?
4
For example: Was it at a rental unit? Single family home? Public or Assisted Housing? A Mobile Home?
4
Did it occur at a bank or other lending institution?
4
Did it occur at a bank or other lending institution?
4
Provide the address.
Address
City State
Zip Code
When did the last act of discrimination occur?
Enter the date
5
Enter the date
5
Is the alleged discrimination continuing or ongoing?
Y
es
YesY
No
Send this form
to HUD or to the fair housing agency nearest you.
If you are unable to complete this form, you may
call that office directly. See address and telephone listings on back page.
/
/
/
/
Signature
Date
HOUSING DISCRIMINATION INFORMA
TION
Departamento de Vivienda y Desarrollo Urbano Oficina de Derecho Equitativo a la Vivienda
U.S. Department of Housing and Urban Development Office of Fair Housing and Equal Opportunity
Palm Beach County Housing Authority
HCV Family Briefing Booklet
40
It is Unlawful to Discriminate in Housing Based on These Factors...
• Race
• Color
• National origin
• Religion
• Sex
Familial status (families with children under the age of 18,
or who are expecting a child)
Handicap (if you or someone close to you has a disability)
If You Believe Your Rights Have Been Violated...
HUD or a State or local fair housing agency is ready to help you
file a complaint.
After your information is received, HUD or a State or local fair housing agency will
contact you to discuss the concerns you raise.
If you have not heard from HUD or a State or local fair housing agency within three weeks from the date
you mailed this form, you may call to inquire about the status of your complaint. See address and tele-
phone listings on back page.
Keep this information for your records.
Date you mailed your information to HUD:
Address to which you sent the information
:
Offi ce
Telephone
Street
City State Zip Code
/
/
/
/
!
Detach here. Fold and close with glue or tape (no staples)
41 Palm Beach County Housing Authority
HCV Family Briefing Booklet
Under the Fair Housing Act, it is Against the Law to:
Refuse to rent to you or sell you housing
Tell you housing is unavailable when in fact it is
available
Show you apartments or homes only in certain
neighborhoods
Set different terms, conditions, or privileges for sale or rental of a
dwelling
Provide different housing services or facilities
Advertise housing to preferred groups of people only
Refuse to provide you with information regarding
mortgage loans, deny you a mortgage loan, or impose different
terms or conditions on a mortgage loan
Deny you property insurance
Conduct property appraisals in a discriminatory manner
Refuse to make reasonable accomodations for persons with a
disability if the accommodation may be necessary to afford such
person a reasonable and equal opportunity to use and enjoy a
dwelling.
Fail to design and construct housing in an accessible manner
Harass, coerce, intimidate, or interfere with anyone
exercising or assisting someone else with his/her fair housing
rights
HOW DO YOU RECOGNIZE HOUSING DISCRIMINATION?
UndLaw to:
ARE YOU A VICTIM OF HOUSING DISCRIMINATION?
The American Dream of having a safe and decent place to call ‘home’
reflects our shared belief that in this nation, opportunity and
success are within everyone’s reach.
Under our Fair Housing laws, every citizen is assured the
opportunity to build a better life in the home or apartment of their
choice — regardless of their race, color, religion, sex, national origin,
family status or disability.
Alphonso Jackson
Secretary
Palm Beach County Housing Authority
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42
Housing Assistance Payments Contract
U.S. Department of Housing
(HAP Contract)
and Urban Development
Section 8 Tenant-Based Assistance
Office of Public and Indian Housing
Housing Choice Voucher Program
Part C of HAP Contract: Tenancy Addendum
1.
Section 8 Voucher Program
a. The owner is leasing the contract unit to the tenant
for occupancy by the tenant’s family with assistance
for a tenancy under the Section 8 housing choice
voucher program (voucher program) of the United
States Department of Housing and Urban
Development (HUD).
b. The owner has entered into a Housing Assistance
Payments Contract (HAP contract) with the PHA
under the voucher program. Under the HAP
contract, the PHA will make housing assistance
payments to the owner to assist the tenant in leasing
the unit from the owner.
2.
Lease
a. The owner has given the PHA a copy of the lease,
including any revisions agreed by the owner and the
tenant. The owner certifies that the terms of the lease
are in accordance with all provisions of the HAP
contract and that the lease includes the tenancy
addendum.
b. The tenant shall have the right to enforce the
tenancy addendum against the owner. If there is any
conflict between the tenancy addendum and any
other provisions of the lease, the language of the
tenancy addendum shall control.
3.
Use of Contract Unit
a. During the lease term, the family will reside in the
contract unit with assistance under the voucher
program.
b. The composition of the household must be approved
by the PHA. The family must promptly inform the
PHA of the birth, adoption or court-awarded custody
of a child. Other persons may not be added to the
household without prior written approval of the
owner and the PHA.
c. The contract unit may only be used for residence by
the PHA-approved household members. The unit
must be the family’s only residence. Members of the
household may engage in legal profit making
activities incidental to primary use of the unit for
residence by members of the family.
d. The tenant may not sublease or let the unit.
e. The tenant may not assign the lease or transfer the
unit.
4.
Rent to Owner
a. The initial rent to owner may not exceed the amount
approved by the PHA in accordance with HUD
requirements.
b. Changes in the rent to owner shall be determined by
the provisions of the lease. However, the owner may
not raise the rent during the initial term ofthe lease.
c. During the term of the lease (including the initial
term of the lease and any extension term), the rent to
owner may at notimeexceed:
(1) The reasonable rent for the unit as most
recently determined or redetermined by the
PHA in accordance with HUD requirements,
or
(2) Rent charged by the owner for comparable
unassisted units in the premises.
5.
Family Payment to Owner
a. The family is responsible for paying the owner any
portion of the rent to owner that is not covered by
the PHA housing assistance payment.
b. Each month, the PHA will make a housing
assistance payment to the owner on behalf of the
family in accordance with the HAP contract. The
amount of the monthly housing assistance payment
will be determined by the PHA in accordance with
HUD requirements for a tenancy under the Section 8
voucher program.
c. The monthly housing assistance payment shall be
credited against the monthly rent to owner for the
contract unit.
d. The tenant is not responsible for paying the portion
of rent to owner covered by the PHA housing
assistance payment under the HAP contract between
the owner and the PHA. A PHA failure to pay the
housing assistance payment to the owner is not a
violation of the lease. The owner may not terminate
the tenancy for nonpayment of the PHA housing
assistance payment.
e. The owner may not charge or accept, from the
family or from any other source, any payment for
rent of the unit in addition to the rent to owner. Rent
to owner includes all housing services, maintenance,
utilities and appliances to be provided and paid by
the owner in accordance with the lease.
f. The owner mustimmediatelyreturn anyexcessrent
payment to the tenant.
6.
Other Fees and Charges
a. Rent to owner does not include cost of any meals or
supportive services or furniture which may be
provided by the owner.
b. The owner may not require the tenant or family
members to pay charges for any meals or supportive
services or furniture which may be provided by the
owner. Nonpayment of any such charges is not
grounds for termination of tenancy.
c. The owner may not charge the tenant extra amounts
for items customarily included in rent to owner in
the locality, or provided at no additional cost to
unsubsidized tenants in the premises.
7.
Maintenance, Utilities, and Other Services
a.
Maintenance
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(2) The owner may terminate the tenancy during
the term of the lease if any member of the
householdis:
(a) Fleeing to avoid prosecution, or custody
or confinement after conviction, for a
crime, or attempt to commit a crime, that
is a felony under the laws of the place
from which the individual flees, or that,
in the case of the State of New Jersey, is
a high misdemeanor; or
(b) Violating a condition of probation or
parole under Federal or State law.
(3) The owner may terminate the tenancy for
criminal activity by a household member in
accordance with this section if the owner
determines that the household member has
committed the criminal activity, regardless of
whether the household member has been
arrested or convicted for such activity.
(4) The owner may terminate the tenancy during
the term of the lease if any member of the
household has engaged in abuse of alcohol
that threatens the health, safety or right to
peaceful enjoyment of the premises by other
residents.
d. Other good cause for termination of tenancy
(1) During the initial lease term, other good cause
for termination of tenancy must be something
the family did or failed to do.
(2) During the initial lease term or during any
extensionterm, other goodcause may include:
(a) Disturbance of neighbors,
(b) Destruction of property, or
(c) Livingor housekeeping habits thatcause
damage tothe unit or premises.
(3) After the initial lease term, such good cause
may include:
(a) The tenants failureto accepttheowner’s
offer of a new lease or revision;
(b) The owner’s desire to use the unit for
personal or family use or for a purpose
other than use as a residential rental unit;
or
(c) A business or economic reason for
termination of the tenancy (such as sale of
the property, renovation of the unit, the
owner’s desire to rent the unit for a higher
rent).
(5) The examples of other good cause in this
paragraph donot preemptanyState or local
laws to the contrary.
(6) In the case of an owner who is an immediate
successor in interest pursuant to foreclosure
during the term of the lease, requiring the
tenant to vacate the property prior to sale shall
not constitute othergoodcause, except that the
owner may terminate the tenancy effective on
the date of transfer of the unit to the owner if
the owner: (a) will occupy the unit as a
primary residence; and (b) has provided the
tenant a notice to vacate at least 90 days before
the effective date of such notice. This
(1) Theowner must maintain the unit and premises
inaccordance withthe HQS.
(2) Maintenance and replacement (including
redecoration) must be in accordance with the
standard practice for the building concerned as
established by the owner.
b.
Utilities and appliances
(1) Theownermust provideallutilitiesneeded to
comply with the HQS.
(2) The owner is not responsible for a breach of
the HQS caused by the tenant’s failure to:
(a) Pay for any utilities that are tobe paidby
the tenant.
(b) Provide and maintain any appliances
that are to be provided by the tenant.
c. Family damage. The owner is not responsible for a
breach of the HQS because of damages beyond
normal wear and tear caused by any member of the
household or by a guest.
d. Housing services. The owner must provide all
housing services as agreed to in the lease.
8.
Termination of Tenancy by Owner
a.
Requ
irements. The owner may only terminate the
tenancy in accordance with the lease and HUD
requirements.
b. Grounds. During the term of the lease (the initial
term of the lease or any extension term), the owner
may only terminate the tenancy becaus
e of:
(1) Serious or repeated violation of the lease;
(2) Violation of Federal, State, or local law that
imposes obligations on the tenant in
connection with the occupancy or use of the
unit and the premises;
(3) Criminal activity or alcohol abuse (as
provided in paragraph c); or
(4) Other good cause (as provided in paragraph
d).
c. Criminal activity or alcohol abuse.
(1) The owner may terminate the tenancy during
the term of the lease if any member of the
household, a guest or another person under a
residents control commits any of the
following types of criminal activity:
(a) Any criminalactivity thatthreatens the
health or safety of, or the right to
peacefulenjoymentofthepremisesby,
other residents (including property
management staff residing on the
premises);
(b) Any criminalactivitythatthreatensthe
health or safety of, or the right to
peaceful enjoyment of their residences
by, personsresiding in theimmediate
vicinity of the premises;
(c) Any violent criminal activity on or near
the premises; or
(d) Any drug-relatedcriminalactivityon or
near the premises.
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provision shall not affect any State or local law
that provides for longer time periods or
addition protections for tenants.
This
provision will sunset on December 31, 2012
unless extended by law.
e. Protections for Victims of Abuse.
(1) An incident or incidents of actual or threatened
domestic violence, dating violence, or stalking will
not be construed as serious or repeated violations of
the lease or other “good cause” for termination of
the assistance, tenancy, or occupancy rights of
such a victim.
(2) Criminal activity directly relating to abuse,
engaged in by a member of a tenant’s household or
any guest or other person under the tenant’s
control, shall not be cause for termination of
assistance, tenancy, or occupancy rights if the
tenant or an immediate member of the tenant’s
family is the victim or threatened victim of
domestic violence, dating violence, or stalking.
(3) Notwithstanding any restrictions on admission,
occupancy, or terminations of occupancy or
assistance, or any Federal, State or local law to the
contrary, a PHA, owner or manager may
bifurcate a lease, or otherwise remove a
household member from a lease, without regard to
whether a household member is a signatory to the
lease, in order to evict, remove, terminate
occupancy rights, or terminate assistance to any
individual who is a tenant or lawful occupant and
who engages in criminal acts of physical violence
against family members or others. This action may
be taken without evicting, removing, terminating
assistance to, or otherwise penalizing the victim of
the violence who is also a tenant or lawful
occupant. Such eviction, removal, termination of
occupancy rights, or termination of assistance shall
be effected in accordance with the procedures
prescribed by Federal, State, and local law for the
termination of leases or assistance under the
housing choice voucher program.
(4) Nothing in this section may be construed to limit
the authority of a public housing agency, owner, or
manager, when notified, to honor court orders
addressing rights of access or control of the
property, including civil protection orders issued to
protect the victim and issued to address the
distribution or possession of property among the
household members in cases where a family breaks
up.
(5) Nothing in this section limits any otherwise
available authority of an owner or manager to evict
or the public housing agency to terminate
assistance to a tenant for any violation of a lease
not premised on the act or acts of violence in
question against the tenant or a member of the
tenant’s household, provided that the owner,
manager, or public housing agency does not subject
an individual who is or has been a victim of
domestic violence, dating violence, or stalking to a
moredemandingstandard than other tenantsin
determiningwhether to evict or terminate.
(6) Nothing in this section may be construed to limit
the authority of an owner or manager to evict, or
the public housing agency to terminate assistance,
to any tenant if the owner, manager, or public
housing agency can demonstrate an actual and
imminent threat to other tenants or those employed
at or providing service to the property if the tenant
is not evicted or terminatedfrom assistance.
(7) Nothing in this section shall be construed to
supersede any provision of any Federal, State, or
local law that provides greater protection than this
section for victims of domestic violence, dating
violence, or stalking.
f. Eviction by court action
. The owner may only evict the
tenant by a court action.
g. Owner notice of grounds
(1) At or before the beginning of a court action to
evict the tenant, the owner must give the
tenant a notice that specifies the grounds for
termination of tenancy. The notice may be
included in or combined with any owner
eviction notice.
(2) The owner must give the PHA a copy of any
owner eviction notice at the same time the
owner notifies the tenant.
(3) Eviction notice means a notice to vacate, or a
complaint or other initial pleading used to
begin an eviction action under State or local
law.
9. Lease: Relation to HAP Contract
If theHAP contract terminatesforanyreason, the lease terminates
automatically.
10. PHA Termination of Assistance
The PHA may terminate program assistance for the family for any
grounds authorized in accordance with HUD requirements. If the PHA
terminates program assistance for the family, the lease terminates
automatically.
11. Family Move Out
The tenant must notifythe PHA and the owner before the family moves
out of the unit.
12. Security Deposit
a. The owner may collect a security deposit from the
tenant. (However, the PHA may prohibit the owner
from collecting a security deposit in excess of
private market practice, or in excess of amounts
charged by the owner to unassisted tenants. Any
such PHA-required restriction must be specified in
the HAP contract.)
b. When the family moves out of the contract unit, the
owner, subject to State and local law, may use the
security deposit, including any interest on the
deposit, as reimbursement for any unpaid rent
payable by the tenant, any damages to the unit or
any other amounts that the tenant owes under the
lease.
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c. The owner must give the tenant a list of all items
charged against the security deposit, and the amount
of each item. After deducting the amount, if any,
used to reimburse the owner, the owner must
promptly refund the full amount of the unused
balance to the tenant.
d. If the security deposit is not sufficient to cover
amounts the tenant owes under the lease, the owner
may collect the balance from the tenant.
13.
Prohibition of Discrimination
I
n accordance with applicable equal opportunity statutes, Executive
Orders, and regulations, the owner must not discriminate against any
person because of race, color, religion, sex, national origin, age,
familial status or disability in connection with the lease.
14.
Conflict with Other Provisions of Leas
e
a. The terms of the tenancy addendum are prescribed
by HUD in accordance with Federal law and
regulation, as a condition for Federal assistance to
the tenant and tenant’s family under the Section 8
voucher program.
b. In case of any conflict between the provisions of the
tenancy addendum as required by HUD, and any
other provisions of the lease or any other agreement
between the owner and the tenant, the requirements
of the HUD-required tenancy addendum shall
control.
15.
Changes in Lease or Rent
a. The tenant and the owner may not make any
change in the tenancy addendum. However, if the
tenant and the owner agree to any other changes in
the lease, such changes must be in writing, and the
owner must immediately give the PHA a copy of
such changes. The lease, including any changes,
must be in accordance with the requirements of
the tenancy addendum.
b. In the following cases, tenant-based assistance shall
not be continued unless the PHA has approved a
new tenancy in accordance with program
requirements and has executed a new HAP contract
with the owner:
(1) If there are any changes in lease requirements
governing tenant or owner responsibilities for
utilities or appliances;
(2) If there are any changes in lease provisions
governing the term of the lease;
(3) If the family moves to a new unit,even if the
unit is in the same building or complex.
c. PHA approval of the tenancy, and execution of a
new HAP contract, are not required for agreed
changes in the lease other than as specified in
paragraph b.
d. The owner must notify the PHA of any changes in
the amount of the rent to owner at least sixty days
before any such changes go into effect, and the
amount of the rent to owner following any such
agreed change may not exceed the reasonable rent
for the unit as most recently determined or
redetermined by the PHA in accordance with HUD
requirements.
Any notice under the lease by the tenant to the owner or by the owner
to the tenant must be in writing.
17.
Definitions
Contract unit
. The housingunit rentedby the tenant with
assistance under the program.
Family
. The personswhomayreside inthe unitwith assistance
under the program.
HAP contract
. The housing assistance payments contract between the
PHA and the owner. The PHA pays housing assistance payments to the
owner in accordance with the HAP contract.
Household
. The persons who may reside in the contract unit. The
householdconsists ofthe family and any PHA-approved live-inaide.
(A live-in aide is a person who resides in the unit to provide
necessary supportive services for a member of the family who is a
person with disabilities.)
Housing quality standards (HQS)
. The HUD minimum
quality standards for housing assisted under the Section 8
tenant-based programs.
HUD.
The U.S. Department of Housing and Urban Development.
HUD requirements
. HUD requirementsfor the Section 8 program.
HUD requirements are issued by HUD headquarters, asregulations,
Federal Register notices or other binding program directives.
Lease
. The writtenagreement between the ownerand the tenant for the
lease ofthe contract unit to the tenant. The lease includes the tenancy
addendum prescribed byHUD.
PHA
. Public Housing Agency.
Premises
.The building or complex inwhichthe contract unitis
located, including common areas and grounds.
Program
. The Section 8 housing choice voucher program.
Rent to owner
. The total monthly rentpayable to the ownerforthe
contract unit. The rent to owner is the sum of the portion of rent
payable by the tenant plus the PHA housing assistance payment to
the owner.
Section 8
. Section 8 of theUnited States Housing Act of 1937 (42
United States Code 1437f).
Tenant
. The family member(or members) who leases the unit from
the owner.
Voucher program
. The Section 8 housing choicevoucher program.
Under this program, HUD provides funds to a PHA for rent subsidy
on behalf of eligible families. The tenancy under the lease will be
assisted with rent subsidy for a tenancy under the voucher program.
16.
Notices
Palm Beach County Housing Authority
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47 Palm Beach County Housing Authority
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APPLYING FOR HUD
HOUSING
ASSISTANCE?
THINK ABOUT THIS…
IS FRAUD WORTH IT?
Do You Realize…
If you commit fraud to obtain assisted housing fro
m HUD, you could be:
Evicted from your apartment or house.
Required to repay all overpaid rental assistance you received.
Fined up to $10,000.
Imprisoned for up to five years.
Prohibited from receiving future assistance.
Subject to State and local government penalties.
Do You Know…
You are committing fr
aud if you sign a form knowing that you provided false or misleading
information.
The information you provide on housing assistance application and recertification forms
will
be checked. The local housing agency, HUD, or the Office of Inspector General will
check the income and asset information you provide with other Federal, State, or local
governments and with private agencies. Certifying false information is fraud.
So Be Careful!
When you fill out your application and yearly r
ecertification for assisted housing from
HUD make sure your answers to the questions are accurate and honest. You must
include:
All sources of income and changes in income you or any members of your household
receive, such as wages, welfare payments, social security and veterans’ benefits,
pensions, retirement, etc.
Any money you receive on behalf of your children, such as child support, AFDC
payments, social security for children, etc.
Palm Beach County Housing Authority
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48 Palm Beach County Housing Authority HCV Family Briefing Booklet
HUD-1141
form
(12/2005)
Any increase in income, such as wages from a new job or an expected pay raise or
bonus.
All assets, such as bank accounts, savings bonds, certificates of deposit, stocks, real
estate, etc., that are owned by you or any member of your household.
All income from assets, such as interest from savings and checking accounts, stock
dividends, etc.
Any business or asset (your home) that you sold in the last two years at less than full
value.
The names of everyone, adults or children, relatives and non-relatives, who are living
with you and make up your household.
(Important Notice for Hurricane Katrina and Hurricane Rita Evacuees: HUD’s
reporting requirements may be temporarily waived or suspended because of your
circumstances. Contact the local housing agency before you complete the housing
assistance application.)
Ask Questions
If you don’t understand something on the application or recertification forms, always ask
questions. It
’s better to be safe than sorry.
Watch Out for Housing Assistance Scams!
Don’t pay money to have someone fill out housing assistan
ce application and
recertification forms for you.
Don’t pay money to move up on a waiting list.
Don’t pay for anything that is not covered by your lease.
Get a receipt for any money you pay.
Get a written explanation if you are required to pay for anything other than rent
(maintenance or utility charges).
Report Fraud
If you know of anyone who provided
false information on a HUD housing assistance
application or recertification or if anyone tells you to provide false information, report that
person to the HUD Office of Inspector General Hotline. You can call the Hotline toll-free
Monday through Friday, from 10:00 a.m. to 4:30 p.m., Eastern Time, at 1-800-347-3735.
You can fax information to (202) 708-4829 or e-mail it to Hotline@hudoig.gov
. You can
write the Hotline at:
HUD OIG Hotline, GFI
451 7
th
Street, SW
Washington, DC 20410
December 2005
49 Palm Beach County Housing Authority HCV Family Briefing Booklet
form
(12/2005)
HUD-1141
PALM BEACH COUNTY HOUSING AUTHORITY
HOUSING CHOICE VOUCHER PROGRAM (HCVP)
Notice of Occupancy Rights under the Violence Against Women Act
1
To all Tenants and Applicants
The Violence Against Women Act (VAWA) provides protections for victims of domestic violence, dating violence,
sexual assault, or stalking. VAWA protections are not only available to women, but are available equally to all
individuals regardless of sex, gender identity, or sexual orientation.
2
The U.S. Department of Housing and Urban
Development (HUD) is the Federal agency that oversees that PBCHA HCVP is in compliance with VAWA. This
notice explains your rights under VAWA. A HUD-approved certification form is attached to this notice. You can
fill out this form to show that you are or have been a victim of domestic violence, dating violence, sexual assault,
or stalking, and that you wish to use your rights under VAWA.”
Protections for Applicants
If you otherwise qualify for assistance under PBCHA HCVP, you cannot be denied admission or denied assistance
because you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking.
Protections for Tenants
If you are receiving assistance under PBCHA HCVP, you may not be denied assistance, terminated from
participation, or be evicted from your rental housing because you are or have been a victim of domestic violence,
dating violence, sexual assault, or stalking.
Also, if you or an affiliated individual of yours is or has been the victim of domestic violence, dating violence,
sexual assault, or stalking by a member of your household or any guest, you may not be denied rental assistance
or occupancy rights under PBCHA HCVP solely on the basis of criminal activity directly relating to that domestic
violence, dating violence, sexual assault, or stalking.
Affiliated individual means your spouse, parent, brother, sister, or child, or a person to whom you stand in the
place of a parent or guardian (for example, the affiliated individual is in your care, custody, or control); or any
individual, tenant, or lawful occupant living in your household.
1
Despite the name of this law, VAWA protection is available regardless of sex, gender identity, or sexual orientation.
2
Housing providers cannot discriminate on the basis of any protected characteristic, including race, color, national origin,
religion, sex, familial status, disability, or age. HUD-assisted and HUD-insured housing must be made available to all
otherwise eligible individuals regardless of actual or perceived sexual orientation, gender identity, or marital status.
Palm Beach County Housing Authority
HCV Family Briefing Booklet
39
Palm Beach County Housing Authority HCV Family Briefing Booklet 50
Removing the Abuser or Perpetrator from the Household
HP may divide (bifurcate) your lease in order to evict the individual or terminate the assistance of the individual
who has engaged in criminal activity (the abuser or perpetrator) directly relating to domestic violence, dating
violence, sexual assault, or stalking.
If HP chooses to remove the abuser or perpetrator, HP may not take away the rights of eligible tenants to the
unit or otherwise punish the remaining tenants. If the evicted abuser or perpetrator was the sole tenant to have
established eligibility for assistance under the program, HP must allow the tenant who is or has been a victim and
other household members to remain in the unit for a period of time, in order to establish eligibility under the
program or under another HUD housing program covered by VAWA, or, find alternative housing.
In removing the abuser or perpetrator from the household, HP must follow Federal, State, and local eviction
procedures. In order to divide a lease, HP may, but is not required to, ask you for documentation or
certification of the incidences of domestic violence, dating violence, sexual assault, or stalking.
Moving to Another Unit
Upon your request, HP may permit you to move to another unit, subject to the availability of other units, and
still keep your assistance. In order to approve a request, HP may ask you to provide documentation that you
are requesting to move because of an incidence of domestic violence, dating violence, sexual assault, or
stalking. If the request is a request for emergency transfer, the housing provider may ask you to submit a
written request or fill out a form where you certify that you meet the criteria for an emergency transfer under
VAWA. The criteria are:
(1) You are a victim of domestic violence, dating violence, sexual assault, or stalking.
If your housing provider does not already have documentation that you are a victim of
domestic violence, dating violence, sexual assault, or stalking, your housing provider may
ask you for such documentation, as described in the documentation section below.
(2) You expressly request the emergency transfer. Your housing provider may choose
to require that you submit a form, or may accept another written or oral request.
51 Palm Beach County Housing Authority HCV Family Brieifing Booklet
(3) You reasonably believe you are threatened with imminent harm from further
violence if you remain in your current unit. This means you have a reason to fear that
if you do not receive a transfer you would suffer violence in the very near future.
OR
You are a victim of sexual assault and the assault occurred on the premises during
the 90-calendar-day period before you request a transfer. If you are a victim of sexual
assault, then in addition to qualifying for an emergency transfer because you reasonably
believe you are threatened with imminent harm from further violence if you remain in
your unit, you may qualify for an emergency transfer if the sexual assault occurred on the
premises of the property from which you are seeking your transfer, and that assault
happened within the 90-calendar-day period before you expressly request the transfer.
HP will keep confidential requests for emergency transfers by victims of domestic violence, dating violence,
sexual assault, or stalking, and the location of any move by such victims and their families.
HP’s emergency transfer plan provides further information on emergency transfers, and HP must make a copy
of its emergency transfer plan available to you if you ask to see it.
Documenting You Are or Have Been a Victim of Domestic Violence, Dating Violence, Sexual Assault or
Stalking
HP can, but is not required to, ask you to provide documentation to “certify” that you are or have been a victim
of domestic violence, dating violence, sexual assault, or stalking. Such request from HP must be in writing, and
HP must give you at least 14 business days (Saturdays, Sundays, and Federal holidays do not count) from the
day you receive the request to provide the documentation. HP may, but does not have to, extend the deadline
for the submission of documentation upon your request.
You can provide one of the following to HP as documentation. It is your choice which of the following to submit
if HP asks you to provide documentation that you are or have been a victim of domestic violence, dating
violence, sexual assault, or stalking.
A complete HUD-approved certification form given to you by HP with this notice, that documents an
Palm Beach County Housing Authority HCV Family Briefing Booklet 52
incident of domestic violence, dating violence, sexual assault, or stalking. The form will ask for your
name, the date, time, and location of the incident of domestic violence, dating violence, sexual assault,
or stalking, and a description of the incident. The certification form provides for including the name of
the abuser or perpetrator if the name of the abuser or perpetrator is known and is safe to provide.
A record of a Federal, State, tribal, territorial, or local law enforcement agency, court, or administrative
agency that documents the incident of domestic violence, dating violence, sexual assault, or stalking.
Examples of such records include police reports, protective orders, and restraining orders, among
others.
A statement, which you must sign, along with the signature of an employee, agent, or volunteer of a
victim service provider, an attorney, a medical professional or a mental health professional (collectively,
“professional”) from whom you sought assistance in addressing domestic violence, dating violence,
sexual assault, or stalking, or the effects of abuse, and with the professional selected by you attesting
under penalty of perjury that he or she believes that the incident or incidents of domestic violence,
dating violence, sexual assault, or stalking are grounds for protection.
Any other statement or evidence that HP has agreed to accept.
If you fail or refuse to provide one of these documents within the 14 business days, HP does not have to provide
you with the protections contained in this notice.
If HP receives conflicting evidence that an incident of domestic violence, dating violence, sexual assault, or
stalking has been committed (such as certification forms from two or more members of a household each
claiming to be a victim and naming one or more of the other petitioning household members as the abuser or
perpetrator), HP has the right to request that you provide third-party documentation within thirty 30 calendar
days in order to resolve the conflict. If you fail or refuse to provide third-party documentation where there is
conflicting evidence, HP does not have to provide you with the protections contained in this notice.
Confidentiality
HP must keep confidential any information you provide related to the exercise of your rights under VAWA, including
the fact that you are exercising your rights under VAWA.
53 Palm Beach County Housing Authority
HCV Family Briefing Booklet
HP must not allow any individual administering assistance or other services on behalf of HP (for example,
employees and contractors) to have access to confidential information unless for reasons that specifically call
for these individuals to have access to this information under applicable Federal, State, or local law.
HP must not enter your information into any shared database or disclose your information to any other entity
or individual. HP, however, may disclose the information provided if:
You give written permission to HP to release the information on a time limited basis.
HP needs to use the information in an eviction or termination proceeding, such as to evict your abuser
or perpetrator or terminate your abuser or perpetrator from assistance under this program.
A law requires HP or your landlord to release the information.
VAWA does not limit HP’s duty to honor court orders about access to or control of the property. This includes
orders issued to protect a victim and orders dividing property among household members in cases where a
family breaks up.
Reasons a Tenant Eligible for Occupancy Rights under VAWA May Be Evicted or Assistance May Be
Terminated
You can be evicted and your assistance can be terminated for serious or repeated lease violations that are not
related to domestic violence, dating violence, sexual assault, or stalking committed against you. However, HP
cannot hold tenants who have been victims of domestic violence, dating violence, sexual assault, or stalking to a
more demanding set of rules than it applies to tenants who have not been victims of domestic violence, dating
violence, sexual assault, or stalking.
The protections described in this notice might not apply, and you could be evicted and your assistance
terminated, if HP can demonstrate that not evicting you or terminating your assistance would present a real
physical danger that:
1) Would occur within an immediate time frame, and
2) Could result in death or serious bodily harm to other tenants or those who work on the property.
If HP can demonstrate the above, HP should only terminate your assistance or evict you if there are no other
actions that could be taken to reduce or eliminate the threat.
Palm Beach County Housing Authority HCV Family Briefing Booklet 54
HCV Family Briefing Booklet
Other Laws
VAWA does not replace any Federal, State, or local law that provides greater protection for victims of domestic
violence, dating violence, sexual assault, or stalking. You may be entitled to additional housing protections for
victims of domestic violence, dating violence, sexual assault, or stalking under other Federal laws, as well as
under State and local laws.
Non-Compliance with The Requirements of This Notice
You may report a covered housing provider’s violations of these rights and seek additional assistance, if
needed, by contacting or filing a complaint with US housing and Urban Development: 909 SE 1
st
Avenue, Miami, Florida 33131; (305) 536-4456.
For Additional Information
You may view a copy of HUD’s final VAWA rule at (press ctrl) + (the link below)
https://www.govinfo.gov/content/pkg/FR-2016-11-16/pdf/2016-25888.pdf .
Additionally, HP must make a copy of HUD’s VAWA regulations available to you if you ask to see them.
For questions regarding VAWA, please contact PBCHA HCVP at 561.684.0278.
For help regarding an abusive relationship, you may call the National Domestic Violence Hotline at 1-800-799-
7233 or, for persons with hearing impairments, 1-800-787-3224 (TTY). You may also contact Aid to Victims of
Domestic Abuse (AVDA) 561-265-3797.
For tenants who are or have been victims of stalking seeking help may visit the National Center for Victims of
Crime’s Stalking Resource Center at https://www.victimsofcrime.org/our-programs/stalking-resource-center.
For help regarding sexual assault, you may contact Victim Services Crisis Center: 205 N. Dixie Highway, Suite 5,
West Palm Beach, Florida 33401 561-355-2418; Tollfree 1-866-891-7273.
Victims of stalking seeking help may contact National Center for Victims of Crime 1-855-4-VICTIM
Attachment: Certification form HUD-5382
55 Palm Beach County Housing Authority
CERTIFICATION OF U.S. Department of Housing OMB Approval No. 2577-0286
DOMESTIC VIOLENCE, and Urban Development Exp. 06/30/2017
DATING VIOLENCE,
SEXUAL ASSAULT, OR STALKING,
AND ALTERNATE DOCUMENTATION
Purpose of Form: The Violence Against Women Act (“VAWA”) protects applicants, tenants, and program
participants in certain HUD programs from being evicted, denied housing assistance, or terminated from housing
assistance based on acts of domestic violence, dating violence, sexual assault, or stalking against them. Despite
the name of this law, VAWA protection is available to victims of domestic violence, dating violence, sexual assault,
and stalking, regardless of sex, gender identity, or sexual orientation.
Use of This Optional Form: If you are seeking VAWA protections from your housing provider, your housing
provider may give you a written request that asks you to submit documentation about the incident or incidents
of domestic violence, dating violence, sexual assault, or stalking.
In response to this request, you or someone on your behalf may complete this optional form and submit it to
your housing provider, or you may submit one of the following types of third-party documentation:
(1) A document signed by you and an employee, agent, or volunteer of a victim service provider, an attorney,
or medical professional, or a mental health professional (collectively, “professional”) from whom you have
sought assistance relating to domestic violence, dating violence, sexual assault, or stalking, or the effects of
abuse. The document must specify, under penalty of perjury, that the professional believes the incident or
incidents of domestic violence, dating violence, sexual assault, or stalking occurred and meet the definition of
“domestic violence,” “dating violence,” “sexual assault,” or “stalking” in HUD’s regulations at 24 CFR 5.2003.
(2) A record of a Federal, State, tribal, territorial or local law enforcement agency, court, or administrative
agency; or
(3) At the discretion of the housing provider, a statement or other evidence provided by the applicant or tenant.
Submission of Documentation: The time period to submit documentation is 14 business days from the date that
you receive a written request from your housing provider asking that you provide documentation of the
occurrence of domestic violence, dating violence, sexual assault, or stalking. Your housing provider may, but is
not required to, extend the time period to submit the documentation, if you request an extension of the time
period. If the requested information is not received within 14 business days of when you received the request
for the documentation, or any extension of the date provided by your housing provider, your housing provider
does not need to grant you any of the VAWA protections. Distribution or issuance of this form does not serve as
a written request for certification.
Confidentiality: All information provided to your housing provider concerning the incident(s) of domestic
violence, dating violence, sexual assault, or stalking shall be kept confidential and such details shall not be entered
into any shared database. Employees of your housing provider are not to have access to these details unless to
grant or deny VAWA protections to you, and such employees may not disclose this information to any other entity
or individual, except to the extent that disclosure is: (i) consented to by you in writing in a time-limited release;
(ii) required for use in an eviction proceeding or hearing regarding termination of assistance; or (iii) otherwise
required by applicable law.
Palm Beach County Housing Authority HCV Family Briefing Booklet 49
56 Palm Beach County Housing Authority HCV Family Briefing Booklet
HCV Family Briefing Booklet
TO BE COMPLETED BY OR ON BEHALF OF THE VICTIM OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL
ASSAULT, OR STALKING
1. Date the written request is received by victim: _________________________________________
2. Name of victim: ___________________________________________________________________
3. Your name (if different from victim’s):________________________________________________
4. Name(s) of other family member(s) listed on the lease:___________________________________
___________________________________________________________________________________
5. Residence of victim: ________________________________________________________________
6. Name of the accused perpetrator (if known and can be safely disclosed):____________________
__________________________________________________________________________________
7. Relationship of the accused perpetrator to the victim:___________________________________
8. Date(s) and times(s) of incident(s) (if known):___________________________________________
_________________________________________________________________
10. Location of incident(s):_____________________________________________________________
This is to certify that the information provided on this form is true and correct to the best of my knowledge and
recollection, and that the individual named above in Item 2 is or has been a victim of domestic violence, dating
violence, sexual assault, or stalking. I acknowledge that submission of false information could jeopardize program
eligibility and could be the basis for denial of admission, termination of assistance, or eviction.
Signature __________________________________Signed on (Date) ___________________________
Public Reporting Burden: The public reporting burden for this collection of information is estimated to average
1 hour per response. This includes the time for collecting, reviewing, and reporting the data. The information
provided is to be used by the housing provider to request certification that the applicant or tenant is a victim of
domestic violence, dating violence, sexual assault, or stalking. The information is subject to the confidentiality
requirements of VAWA. This agency may not collect this information, and you are not required to complete this
form, unless it displays a currently valid Office of Management and Budget control number.
In your own words, briefly describe the incident(s):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_____________________________________________________________________________
57 Palm Beach County Housing Authority
LEASE ADDENDUM
VIOLENCE AGAINST WOMEN AND JUSTICE DEPARTMENT REAUTHORIZATION ACT OF 2005
TENANT
LANDLORD
UNIT NO. & ADDRESS
This lease addendum adds the following paragraphs to the Lease between the above referenced
Tenant and Landlord.
Purpose of the Addendum
The lease for the above referenced unit is being amended to include the provisions of the Violence
Against Women and Justice Department Reauthorization Act of 2005 (VAWA).
Conflicts with Other Provisions of the Lease
In case of any conflict between the provisions of this Addendum and other sections of the Lease, the
provisions of this Addendum shall prevail.
Term of the Lease Addendum
The effective date of this Lease Addendum is ______________. This Lease Addendum shall continue to
be in effect until the Lease is terminated.
VAWA Protections
1. The Landlord may not consider incidents of domestic violence, dating violence or stalking as serious
or repeated violations of the lease or other “good cause” for termination of assistance, tenancy or
occupancy rights of the victim of abuse.
2. The Landlord may not consider criminal activity directly relating to abuse, engaged in by a member
of a tenant’s household or any guest or other person under the tenant’s control, cause for
termination of assistance, tenancy, or occupancy rights if the tenant or an immediate member of
the tenant’s family is the victim or threatened victim of that abuse.
3. The Landlord may request in writing that the victim, or a family member on the victim’s behalf,
certify that the individual is a victim of abuse and that the Certification of Domestic Violence,
Dating Violence or Stalking, Form HUD-91066, or other documentation as noted on the certification
form, be completed and submitted within 14 business days, or an agreed upon extension date, to
receive protection under the VAWA. Failure to provide the certification or other supporting
documentation within the specified timeframe may result in eviction.
_________________________________________ __________________
Tenant Date
_________________________________________ __________________
Landlord Date
VIOLENCE, DATING VIOLENCE U.S. Department of Housing OMB Approval No. 2502-0204
OR STALKING and Urban Development Exp. 6/30/2017
Palm Beach County Housing Authority HCV Family Briefing Booklet 49
Palm Beach County Housing Authority HCV Family Briefing Booklet 58
3432 W. 45
TH
Street West Palm Beach, Florida 33407 p 561.684.2160 pbchafl.org
PALM BEACH COUNTY
AUTHORITY