Process To Request A Change In Household Composition Form printable pdf download

PROCESS TO REQUEST A CHANGE IN HOUSEHOLD COMPOSITION

CMHA requires Housing Choice Voucher program participants to report ALL changes to household composition within

thirty (30) calendar days of occurrence. Failure to comply with this requirement may result in termination of housing

assistance and/or retroactive rent charges.

The completed Change in Household Composition Request form, accompanied by all required verification must be

hand-delivered to CMHA’s Housing Choice Voucher Program Office during normal business hours.

MANDATORY DOCUMENTATION AND VERIFICATION:

 Completed “Change in Household Composition Request” form (see reverse side)

MANDATORY VERIFICATION, IF REPORTING HOUSEHOLD COMPOSITION CHANGE DUE TO BIRTH, COURT

AWARDED CUSTODY, ADOPTION, FOSTER CARE:

 Birth Certificate

 Social Security Card

 Completed Declaration of 214 Status for each individual being added

 Court Awarded Custody Paperwork (if applicable)

 Adoption Paperwork (if applicable)

 Foster Care Documentation (if applicable)

REPORTING OTHER ADDITIONS TO THE HOUSEHOLD:

The participant family is required to report additions to the household, in writing, 30 days prior to the proposed move-in

date, in order to receive CMHA’s approval. CMHA will deny the addition of a family member, with exception of an

addition by birth adoption, court awarded custody of a child, marriage, if the addition will result in overcrowding.

Your Housing Specialist will schedule an appointment to approve the requested addition.

MANDATORY VERIFICATION, IF REPORTING A REDUCTION IN HOUSEHOLD SIZE:

 Foster care documentation (if applicable)

 Medical facility documentation (if applicable)

 Enrollment paperwork from an institution of high learning (if applicable)

 New address of removed household member

 Move-out Date

* Failure to complete the Change in Household Composition Request form and submit all REQUIRED

MANDATORY verification, information and/or documentation will result in your interim request being canceled.

Reasonable Accommodation: If you, or any household member, have a disability that could prevent your full access to or utilization of CMHA’s

Housing Choice Voucher Program and its related services, you have the right to request a reasonable accommodation. A reasonable may include a

modification of a rule, policy, procedure or service that will assist an otherwise eligible disabled applicant or resident to make effect use of its programs.

If you believe you require a Reasonable Accommodation, please contact your Housing Specialist.

HOUSING CHOICE VOUCHER PROGRAM, 1635 WESTERN AVENUE, CINCINNATI, OHIO 45214

Phone: (513) 977-5800 Fax: (513) 977-5858 TDD: (800) 750-0750 Website:

Equal Opportunity Employer, Equal Housing Opportunities

Process To Request A Change In Household Composition Form

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