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
- 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.
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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