SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION
Unemployment Insurance File
HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs · 2026 edition · updated 2026-10-05 · United States
Claimant SSN
Claimant Last Name
Claimant First Name
Claimant’s Address (optional for an employer to report)
Benefit Amount
Unemployment reporting period
HUD Occupancy Handbook Exhibit 9-6
8/13
1
Exhibit 9-7
4350.3 REV-1
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