Appendix 3: Acceptable Forms — HUD Handbook 4350.3 REV-1

			ACCEPTABLESOURCES
		Third Partya				Verification Tips
Factor to be Verified	Written~~b and d~~	Provided by Applicant~~e*~~	Oralc	*Provided by Applicant	Self-Declaration
Unemployment compensation. (See Chapter 5, Paragraphs 5-5.A, 5- 6.J and Q)	EIV Income Report (mandatory) Verification form completed by source.	Copies of checks or records from agency provided by applicant stating payment amounts and dates. Benefit notification letter signed by authorizing agency.	Telephone or in- person contact with agency documented in a file by an owner.		Notarized statement of unemployment compensation received.	It is mandatory that the EIV Income Report be used as third-party verification of employment and income (24 CFR 5.233). Frequency of payments and expected length of benefit term must be verified. Income not expected to last full 12 months must be calculated based on 12 months and interim recertification completed when benefits stop.

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 21 Appendix 3: Acceptable Forms of Verification

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Appendix 3

4350.3 REV-1