Disaster Housing Assistance Program Notice to Vacate
This file contains important instructions for families participating in the DHAP-Sandy program. It outlines the process for notifying the Public Housing Authority (PHA) about vacating a unit. Families must complete this form to ensure compliance with their obligations.
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How do I fill this out?
To fill out this form, begin by entering the required personal information. Ensure you provide accurate details regarding your current address and the date you plan to vacate. Follow the prompts closely to complete the form and adhere to your obligations.

How to fill out the Disaster Housing Assistance Program Notice to Vacate?
1
Enter the PHA name and your personal information.
2
Provide the address of the unit you are vacating.
3
Indicate the date you intend to leave the unit.
4
Sign the form to confirm your acknowledgement of the obligations.
5
Submit the completed form to the appropriate PHA contact.
Who needs the Disaster Housing Assistance Program Notice to Vacate?
1
Families participating in DHAP-Sandy need this form to notify PHA.
2
Landlords may require this notice to track tenant vacating.
3
Social workers assisting families may use this to ensure compliance.
4
Property managers need this for official records of unit vacancies.
5
Community organizations may help clients complete this form.
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What are the instructions for submitting this form?
To submit this form, complete it accurately and save your changes. You can email it directly to your designated PHA contact or submit it online if available. Make sure to keep a copy for your records and follow up with the PHA if you do not receive confirmation.
What are the important dates for this form in 2024 and 2025?
Important dates regarding the DHAP-Sandy program will be communicated by the PHA. Keep an eye out for notices about changes to the program timelines in 2024 and 2025. Ensure timely submission to avoid any impacts on your assistance.

What is the purpose of this form?
The purpose of this form is to ensure that families participating in the DHAP-Sandy program adhere to the required notification process for vacating their units. This helps maintain accurate records for the Public Housing Authority (PHA) and facilitates smooth transitions for families in need of housing assistance. Submitting this form is crucial for compliance with the family's obligations under the program.

Tell me about this form and its components and fields line-by-line.

- 1. PHA Name: The name of the Public Housing Authority overseeing your assistance.
- 2. Head of Household: Name of the primary person in the family unit.
- 3. Unit Address: The address of the unit you are vacating.
- 4. Vacate Date: The date you plan to leave the unit.
- 5. Landlord Contact: Contact information of the landlord.
What happens if I fail to submit this form?
Failing to submit this form may lead to complications in your housing assistance. You may lose eligibility for benefits if you do not comply with the family's obligations. It could also affect your standing with the PHA, leading potentially to legal issues.
- Loss of Assistance: Not notifying the PHA may result in the loss of housing benefits.
- Legal Consequences: Failure to comply may lead to legal actions by the landlord.
- Complicated Transitions: Not submitting the notice can make it difficult to transition to new housing.
How do I know when to use this form?

- 1. Relocating: When you plan to move from your current residence.
- 2. Ending Lease: If you are terminating your lease agreement for any reason.
- 3. Compliance: To fulfill your obligations under the housing assistance program.
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