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SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION

Appendix 3: Acceptable Forms of Verification

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

ACCEPTABLESOURCES
Third Partya **Verification Tips **
Factor to be Verified Writtenb and d Provided by Applicant~~*e**~~ Oralc *Provided by Applicant Self-Declaration
Social security
number.
(See Chapter 3,
Paragraph 3-31)
None required. None Required Original Social Security
card
Original document issued
by a federal or state
government agency which
contains the name, SSN,
and other identifying
information of the
individual

Driver’s license with SSN
Identification card issued
by a medical insurance
provider, or by an
employer or trade union.
Earnings statements on
payroll stubs
Bank statement
Form 1099
Benefit award letter
Retirement benefit letter
Life insurance policy
Court records
N/A Individuals who have
applied for legalization
under the Immigration
Reform and Control Act
of 1986 will be able to
disclose their social
security numbers but
unable to supply cards
for documentation.
Social security
numbers are assigned
to these persons when
they apply for amnesty.
The cards go to DHS
until the persons are
granted temporary
lawful resident status.
Until that time, their
acceptable
documentation is a
letter from the DHS
indicating that social
security numbers have
been assigned.

aNOTE : Requests for verification from a third party source must be accompanied by a Consent to Release form HUD-9887-A.

bNOTE : If the original document is witnessed but is a document that should not be copied, the owner should record the type of document, any control or serial numbers, and the issuer. The owner should also initial and date this notation in the file.

cNOTE : For all oral verification, file documentation must include facts, time and date of contact, and name and title of the third party.

d*NOTE: For use of EIV Income Reports as third party verification of employment and income a current Consent for Release form HUD-9887 must be on file.* c[*] NOTE: See examples and requirements found in Paragraph 5-13.B.1

HUD Occupancy Handbook 19 Appendix 3: Acceptable Forms of Verification

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Appendix 3

4350.3 REV-1

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