Quality Control Checklist

TMHA Form 344

Revised January 2004

QUALITY CONTROL CHECKLIST

NEW MOVE-INS

Public Housing and New Construction

Items followed by *are exclusive to New Construction only! Items followed by ** must be signed by all adults.

Application :

Is Application** signed and dated by all adults? Y______N______

Is application signed by the Interviewer and Resident

Selection Coordinator? Y______N______

Rent Worksheet:

Is the rent calculated correctly? Y ______N______

If no, where was the error made? ______

Verifications:

What date was the unit assigned to your development ______What is the date of the income verifications? ______

Are all income verifications via third party? Y ______N ______

Anyone receive the $ 400 allowance for being disabled? Y ______N ______

Are they on SSI? Y ______N ______

If no, is the disability verified via third party? Y ______N ______

Certifications and Eligibility:

Applicant/Resident Certification** signed and dated by

Applicant? Y ______N ______. By TMHA Staff? Y ______N ______

Is the Federal Privacy Act signed/dated by applicant? Y ______N ______

Did applicant sign and date Eligibility Requirements**? Y ______N ______

Did applicant sign and date Local Preference Form **? Y ______N ______

If housed with preference, are verifications enclosed? Y ______N ______

Screening**:

Is there a landlord report in the packet? Y ______N ______

Is there utility verifications in the packet?

(This varies from development to development) Y ______N ______

Is there any LEADS or police reports in the packet? Y ______N ______

Is the applicant on Criminal Trespass Ban List Y ______N ______

Is the Fair Credit Reporting Act ** signed and dated? Y ______N ______

Is the Credit Report attached? Y ______N ______

Is the 9886 (Release of Information) ** signed and dated? Y ______N ______

Is the 9887* (Release of Information)**signed and dated? Y ______N ______

Is the Owner Summary included ? Y ______N ______

Is the Family Summary included ? Y ______N ______

Did the applicant declare, sign and date required

Citizenship Form** for all family members? Y ______N ______

Mandated Documents:

Is there a recent Drug Policy ** signed and dated by all

Adults applicants and a TMHA Representative ? Y ______N ______

Is there two (2) signed and dated copies of Watch

Out for Lead Based Paint ** forms enclosed ? Y ______N ______

Race and Ethnicity Form. Y ______N ______

Are there birth certificates for all family members? Y ______N ______

Are there Social Security Cards for all family members ? Y ______N ______

Is it noted that all adult photo ID’s were viewed? Y ______N ______

Is Form 249** completed, signed and dated ? Y ______N ______

Is there an a signed and dated Orientation and

Applicant Education Certificate ** enclosed ? Y ______N ______

UIV Policy Y ______N ______

Name of Family: ______Address: ______

Date of Move In: ______Signed ______

Other: ______

______