Metro West Housing Solutions

Interim Recertification Information Form

YOU MUST SCAN AND UPLOAD, EMAIL, FAX (303-987-7693) OR PUT IN THE MWHS DROPBOX OUTSIDE OUR BUILDING THE VERIFICATION(S) NEEDED TO COMPLETE YOUR ONLINE CERTIFICATION.

What You Are Reporting

NEW EMPLOYMENT/CHANGE OF EMPLOYMENT

EMPLOYMENT LOSS

BENEFIT AMOUNT
☐ Social Security/SSI/SSDI
☐ TANF/AND/OAP
☐ Unemployment
☐ Worker’s compensation
☐ Veterans’ benefits
☐ Pension
☐ Any other benefit

CHILD SUPPORT PAYMENTS

 

FULL-TIME STUDENT STATUS

MONEY FROM FAMILY/FRIENDS

ADDITION OF ADULT HOUSEHOLD MEMBERS

REMOVAL OF ADULT HOUSEHOLD MEMBERS

ADDITION OF MINOR HOUSEHOLD MEMBERS

REMOVAL OF MINOR HOUSEHOLD MEMBERS

Verification Needed

☐ Completed Employment Verification form

☐ Completed Declaration of Employment Loss form or termination letter from employer

If you lost a benefit, provide:
☐ Letter from the agency with the date of termination

If you began receiving a benefit, provide:
☐ Letter from the agency with start date and monthly amount

 

☐ 12 months print out from Family Support Registry
☐ Notarized letter from person providing support stating start date or end date and monthly support amount

☐ Completed Verification of Full-Time Student Status form

☐ Completed Non-Wage Income Verification form

☐ Birth certificate and social security card and photo ID
☐ Permanent residence card (if applicable)
☐ Declaration of 214 status form
☐ Letter from landlord stating approval of edition

☐ Letter from landlord stating that the household member is no longer living in the unit

☐ Birth certificate and social security card
☐ Declaration of 214 status form
☐ Court Ordered Guardianship verification (if applicable)

☐ Written declaration

ALL HOUSEHOLD COMPOSITION AND/OR INCOME CHANGES MUST BE REPORTED ON RENT CAFÉ WITHIN 10 DAYS OF THE CHANGE