Section 8 Change Form

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4224 Renaissance Preserve Way
Fort Myers, FL 33916
Phone: (239) 344-3220
Fax: (239) 344-3268
Website:
Marcus D. Goodson, Executive Director
The Housing Authority of the City of Fort Myers
Housing Choice Voucher Program
SECTION 8 CHANGE FORM
Dear Client;
All changes to your household must be done in writing within ten days of the change. No changes will be
accepted by phone. You must submit proper documentation along with this form. All documentation regarding
your household’s assets and income must be submitted. Failure to provide this information will result in the change
being delayed or not completed. All Adults must sign the General Release on the Back of this paper.
If the information you are reporting is not been reported in a timely manner, you may be required to reimburse
this office for overpayment of rental subsidies.
You will be required to continue paying your of the rent until a change has been completed and a written notice
has been sent to both the client and the landlord indicating the new rental amounts and the effective date.
Complete the following:
Name: __________________________________ Social Security Number: __________________________
Address:__________________________________________________________________________________
Phone Numbers: Home ______________________ work ___________________ Cell__________________
I am reporting the following changes in my household:
Increase or Decrease (circle one)
Explain :__________________________________________________________________________________
__________________________________________________________________________________________
For Income Changes: Attach ALL the following documentation that apply to your household:
Proof of employment
or Loss of employment
Proof of Social Security Income / Veterans administration income / Retirement Pension
Bank Account Statement (2 Monthly statements)
Proof of Annuities, Stocks, Cd’s, Bonds, Money Market Accounts
Proof of Child Support / non Support (Printout from lee county Clerk of Courts for each Father )
Proof of Foodstamps / AFDC / welfare
Notarized Statements from anyone helping you pay your bills. (this must include the amount given each month)
Proof of Child care ( 4-c’s agreement or daycare verification)
Proof of unemployment
Any other income received
For household Member Changes: Attach the following that apply along with the above information for
income changes:
To add a Child you must supply:
Birth Certificate, Social Security Card, Proof of legal custody
(if child is not yours)
To add a adult you must supply:
Birth Certificate, Social Security Card, Picture ID, Proof of relationship, a
letter from your landlord stating they would approve this person to be added to the lease.
Signature: _____________________________________________ Date______________________________________

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