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REQUEST FOR INTERIM RECERTIFICATION

REQUEST FOR INTERIM RECERTIFICATION

  • As a Participant in the MHA Housing Choice Voucher (HCV) Program, you have the right to request an interim reexamination appointment due to a change in income or household composition or to request the addition of a Live-In Aide. Please indicate below the reason for your request (check all that applies):
  • If you are reporting a change in income, please provide the family member name(s) and information below

    Income Increase or Decrease. List all changes to household income:
  • If you are reporting or requesting a change in household composition, please provide the family member name(s) and information below. Please note that any addition to the household that is not due to marriage, birth, adoption or court awarded custody will not increase your voucher size.

    Family Composition Change. List all family members requested to be added or removed.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
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