Current information is needed for your annual or interim review. You are required to provide written verification for each person 18 years or older who will be living in your household. You must also supply all sources of income you expect to receive for all household members.
You must provide verification of all sources of income you expect to receive for all household members. Any person 18 years or older who has no income must verify this. Bring original documents, not copies. Income generally includes, but is not limited to:
Paycheck stubs for the last 3 months (if you work less than full time, you should bring stubs for the last 12 months) verifying your income. Provide name, address, phone and fax number of employer.
Business License, copy of IRS 1040 with profit & loss statement (include supporting documents), and IRS Schedule C.
Unemployment benefits will be verified by Seattle Housing Authority. Do not go to Employment Security for this information.
Public assistance (TANF/welfare)
Department of Social and Health Services (DSHS) income will be verified by Seattle Housing Authority. Do not go to the DSHS office for this information.
Social Security or SSI
A letter from the Social Security Administration (1-800-772-1213) showing your current benefit amount, or the original award letter sent by the SSA for this year stating the benefit amount, and your current bank statement showing direct deposit.
Veterans Administration benefits
Call 1-800-827-1000 and ask them to mail you a verification of your current gross monthly benefit.
Call 206-553-5483 and ask them to mail you a verification of your current gross monthly benefit. Provide the name, address, and phone number of retirement provider.
Civil service retirement
Write to the U.S. Office of Personnel Management (Civil Service Retirement System, P.O. Box 440, Boyers, PA 16017-0440) and ask them to mail you the verification of your gross monthly benefit.
A statement from the Department of Labor and Industries, insurance company, or law firm that shows your awarded gross amount.
Alimony, regular contributions, or gifts
A copy of the court order in the case of alimony, or a statement from any charity, private relief organization, individual, or family member who gives you any regular contributions or gifts.
Child support paid through the Office of Support Enforcement (OSE) will be verified by Seattle Housing Authority. Informal support payments not administered through OSE must be verified with a copy of a divorce decree, parenting plan, court order, or notarized statement from the non-custodial parent.
A statement of all regular pay, special payments and allowances received by a member of the Armed Forces, including the National Guard and Reserves.
Retirement, pensions, annuities, and other benefits
A statement of income from the source of annuities, insurance policies, retirement, pensions, disability, or death benefits. Annuities should show the current balance and rate of interest. If you are drawing on an annuity, you need to show your gross monthly draw.
A statement from the Social Security Administration for you and each member of your household, which states that no benefits are being received. Seattle Housing Authority will verify this information.
Bank account statements
You will need to bring three consecutive months of your most current bank statements for all bank accounts. These include, but are not limited to, checking, savings, and certificates of deposit.
If you have investment accounts, you will need to bring in a financial statement from the financial institution or stock broker that provides current information for all investments. These include, but are not limited to, IRAs, trust funds, stock, bonds, mutual funds, and capital investments. If you have other assets, you will need to bring in a financial statement or other written documents showing current information. These include, but are not limited to, U.S. savings bonds and real estate.
Medical deductions and allowances
If you or a member of your household is elderly—62 years of age or more—or has a disability, and you pay for medical insurance or other medical expenses, you may be eligible for a deduction.
Medical insurance and other expenses
Bring payment stubs, canceled checks, or money order receipts from your provider (e.g. Blue Cross, Blue Shield, AARP), hospital or doctor bills for the last 12 months, and payment agreements for bills that have not been paid.
Bring receipts from the last three months and a letter or computer printout from your pharmacy that lists your current medications, how much you take, how many pills are in a bottle, and how much the prescription costs from the last 12 months.
Other deductions and allowances
If you or a member of your household is employed and pay for child care, bring canceled checks or money order receipts and a statement from the provider of any child care subsidy (e.g. DSHS, City of Seattle, employer). You will be asked to declare this expense in a signed statement that will be verified by your childcare provider.
Provide verification of current school registration for full-time students 18-years or older. It is no longer necessary to verify financial aid, unless you live in a tax credit unit.
Fill out this form completely. You can ask for help to fill out the form if you need it. Failing to report accurate and complete information about your household is fraud and can place your housing assistance in jeopardy. You, and all members living in your household who are 18 years of age or older, must sign and return this form.
Authorization for release of information
You, and all members living in your household who are 18 years of age or older, must sign and date this form.
Social Security number verification
Provide Social Security numbers for all persons living in your household, even if you think Seattle Housing Authority may already have this information.
Declaration of citizenship or eligible immigration status
Fill out both sides of this declaration completely. You, and all members who are living in your household who are 18 years of age or older, must sign and date this form. The responsible adult must also claim status for all minors living in the household.
Household members who were on your lease as of April 1998, and who have already declared status, do not need to fill this out again. All household members who have not declared status will only need to do this once.
Fill out this form completely. You are strongly encouraged to provide the name, address, and phone number of the people that you want contacted in case of an emergency—family, friends, or others. Please also provide the name and phone number of your doctor and the hospital you would like contacted in an emergency.