You are here

Mod Rehab forms and documents

Mod Rehab forms and documents

The forms below are for use by property managers of buildings in the Mod Rehab Program. 

Contact this program:

Manu Morgan
Manu.Morgan@seattlehousing.org
206.239.1649

Form Packets

PDF icon Mod-Rehab Annual Review Packet
PDF icon Mod-Rehab Intake Cover Sheet
PDF icon Mod-Rehab Intake Packet
PDF icon Mod-Rehab Interim Review Cover Sheet
PDF icon Mod-Rehab Interim Review Packet
PDF icon Mod-Rehab Move Out Packet
PDF icon Mod-Rehab New Move In Intake Cover
PDF icon Mod-Rehab New Move In Intake Packet
PDF icon Mod-Rehab New Move In Without Cover Sheet
PDF icon Mod-Rehab New Move In Without Intake Packet
PDF icon Mod-Rehab Transfer Cover Sheet
PDF icon Mod-Rehab Transfer Packet

Individual Forms

PDF icon Assets Vertification
PDF icon EIV Debts Owed
PDF icon Employment Vertification
PDF icon HUD 9886 Authorization for the Release of Information
PDF icon Mod-Rehab HUD Lease Addendum
PDF icon Mod-Rehab Inspection Self Certification
PDF icon Mod-Rehab Medical Expenses Declaration
PDF icon Mod-Rehab Move Out Notice
PDF icon Mod-Rehab Release of Information
PDF icon Mod-Rehab Request for Interim Review
PDF icon Mod-Rehab SRO Personal Declaration
PDF icon Mod-Rehab Transfer Checklist
PDF icon Original ID Copy
PDF icon Self Employment Vertification
PDF icon SHA-1117 Mod Rehab Declaration Citizenship Immigration Status
PDF icon SHA-1118 Citizenship Verification Consent Form
PDF icon SHA-129 Zero Income Vertification
PDF icon SHA-165 Mod-Rehab Housing Application
PDF icon SHA-868 Mod-Rehab Drug Damage Lead Based Paint
PDF icon SHA-908 Vertification of Homelessness
PDF icon SHA-932 SSN Not Assigned
PDF icon Statement of Family Responsibility
PDF icon Tenant Verification Disability
PDF icon Vertification Clarification by Phone

Fax Cover Sheets

PDF icon Mod-Rehab Fax Cover Sheet - The Glen
PDF icon Mod-Rehab Fax Cover Sheet - Union
PDF icon Mod-Rehab Fax Cover Sheet - Westlake
PDF icon Mod-Rehab Fax Cover Sheet - Wintonia