USDA - UNSCHEDULED CERTIFICATION CHECKLIST

Property: / Unit Number:
Resident Name(s): / Effective Date:
Rent Increasing / Rent Decreasing / Assigning Rental Assistance

Send information per policy requirements and in the following order: If something does not apply write “NA”.

CERTIFICATION:
New 1944-8 or 3560-8 (Tenant Certification) / Student Status (TC-13), if applicable
RA-4r or 4ra (Rental Agreement Amendment) / Housing Credit ONLY: Certification of Full-Time Student Eligibility (TC-14t)
TC-59 (Resident Cert) and TC-59a (Subsidy Interview) / Childcare/Handicap Care (TC-9hr)
Housing Credit ONLY: Rental Amounts & Income Ranges Chart / Medical/Handicap (Use TC-41hr, & TC-36hr, 37hr, 38hr, 39hr, 40hr as needed.)
Income/Non-Income verification(s) (TC-forms) / Previous Household Member Certification (TC-34), if applicable.
Asset Verification(s) (TC-forms) including the TC-80hr / Recertification Adjustment Notices: TC-27r(1) and TC-27r(2), if applicable.
Child (TC-11) or Non-Child Support (TC-11a) and supporting documents when applicable / Housing Credit Only: Addendum to Apartment Rental Agreement (RA-29t)
Additional Household Member Information: If applicable
For Each “new” member please include: Proof of birth, proof of SSN. For Adults: please include the application, picture I/D, Notice of Status (RS-30), credit & criminal reports; and, Housing Questionnaire(s) (RS-4 and/or, for PHA Voucher Holders (RS-11). For children: proof of custody, adoption, foster care, etc. / Disability Verification (for eligibility) (TC-8), and, if applicable, Live-in Aide Affidavit (TC-48)
Information for Adult Students (RS-24r)
Adults: Waiting List Page(s) (RS-23r)
Newly Executed Lease plus Amendments: For additional adult household member; or, to update resident file.
Rental Agreement (RA-1r) and Resident Checklist (RA-1d): All applicable attachment must be included with the lease. / OTHER: PHA Section 8 Contract, Pet addendum (RA-3), Live-in Aide) RA-13, etc. as applicable.
Reasonable Accommodations: If applicable
Options for Applicants/Residents with Disabilities
(RS-9) / Reasonable Accommodation Approval/Denial (RS-8) from Property Supervisor. Be sure that the bottom of page 2 is also completed.
Verification of Need for Special Accommodation
(RS-10) / Attach ALL additional paperwork relevant to the Reasonable Accommodation – work orders, etc.
Additional Comments:
Remember that ALL reported changes (information) must be verified. In some cases the reported
change(s) may make it necessary to completely re-verify the information currently held in the file.
Completed by: / Date:

USDA - Unscheduled Certification Tracking (06/06)Page 1 of 1TC-67