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Sample Move-In/Move-Out Inspection Form

B. Date Employment Terminated

HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs · 2026 edition · updated 2026-10-05 · United States

    1. Relevant information to verify with third party:
    • a. Date of hire;

    • b. Date of termination;

    • c. Last day actually worked;

    • d. Do you anticipate rehiring this employee? If yes, when?

    • e. Will the employee receive additional paychecks for worker’s compensation?

If yes, provide the name and address of the company through which this can be verified.

  • f. Is employee eligible for unemployment benefits?

  • g. Total severance pay anticipated for the next 12 months.

  1. Acceptable forms of verification:

    • a. Termination of employment verification;

    • b. Letter from employer stating date of termination; and

    • c. Letter from an agency providing unemployment compensation stating that the individual's employment terminated and that unemployment benefits will begin.

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▸Contents — HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs

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