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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
Student Status
(Section 8 only)
(See Chapter 3,
Paragraphs 3-13.A
and 3-33.A)
Enrolled full-time
and/or part-time at an
institution of higher
education
Verification of
independence from
parents
Financial assistance
received
Signed declaration
and certification of
income from parents
Certification of income
provided by parent or
from persons not
living in the unit with
the student
May also need to
verify age; dependent
children; marital
status; tuition; veteran
status and /or disability
status.
Student status
(Section 221(d)(3)
BMIR, Section 202
PAC, Section 202
PRAC and Section
811 PRAC)
See Chapter 3,
Paragraph 3-13.B and
3-33.B)
Enrolled full-time
and/or part-time at an
institution of higher
education
Verification of
independence from
parents
Financial assistance
received
Certification of
income provided by
parent or from
persons not living in
the unit with the
student
Unborn children. None required. None required. None required. Applicant/tenant self-
certifies to
pregnancy.
Owner may not verify
further than self-
certification.

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 20 Appendix 3: Acceptable Forms of Verification

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Appendix 3

4350.3 REV-1

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