Housing Choice Voucher Family Member Addition Form
This form is used to report the addition or removal of family members in the Housing Choice Voucher program. It is crucial for maintaining an accurate household record with Richfield HRA. Ensure all information is filled out properly to avoid delays in processing.
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How do I fill this out?
To fill out this form, start by printing it clearly for submission. Provide details such as the head of household's name, contact information, and the specifics of the family member being added or removed. Ensure all required fields are completed accurately to facilitate a smooth review process.

How to fill out the Housing Choice Voucher Family Member Addition Form?
1
Print the form neatly.
2
Fill in the head of household and contact details.
3
Provide information about the member being added or removed.
4
Check for accuracy in all sections.
5
Submit the completed form promptly.
Who needs the Housing Choice Voucher Family Member Addition Form?
1
Families applying for housing assistance need this form to adjust their household records.
2
Landlords may require this form to ensure their lease agreements are up to date.
3
Individuals experiencing a change in family status, such as adoption, will need to report these changes.
4
Social workers or case managers might need to assist clients in filling out the form correctly.
5
Anyone moving in or out of a voucher household must report these changes within the designated timeframe.
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Select the text you wish to edit and make your changes.
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What are the instructions for submitting this form?
To submit the completed form, you can email it to the Richfield HRA at info@richfieldhra.org. Alternatively, fax it to (612) 123-4567 or mail it to 1234 Housing Ave, Richfield, MN 55423. Ensure you retain a copy for your records and consider following up on the submission after a few days.
What are the important dates for this form in 2024 and 2025?
Be sure to adhere to the timeline for submission: families must report changes within 10 days of any household member moving in or out. Review deadlines for annual recertification and changes in eligibility that may arise due to family adjustments. Keeping track of these dates is essential for maintaining your assistance benefits.

What is the purpose of this form?
The Housing Choice Voucher Family Member Addition Form serves to keep accurate records of household composition. Updates must be made in a timely manner to reflect any changes, including births, adoptions, or departures. This ensures that the assistance provided aligns with the current household's needs and complies with the requirements set forth by Richfield HRA.

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

- 1. Head of Household: The primary person in the household responsible for the voucher.
- 2. Day Time Phone #: Contact number for reachability.
- 3. Address: Current residence address.
- 4. New Family Member Information: Details of the family member being added or removed.
- 5. Signature: Signature of the head of household certifying the information is correct.
What happens if I fail to submit this form?
Failure to submit this form within the required timeframe can lead to consequences for your housing assistance. This may include delays in processing your benefits or potential reductions in your voucher size during recertification. It is vital to promptly report any changes to maintain accurate records.
- Potential Loss of Benefits: Falling behind on reporting may result in loss of eligibility for housing assistance.
- Inaccurate Household Records: Failure to update household information can lead to incorrect benefit calculations.
- Compliance Issues: Not adhering to reporting timelines could result in non-compliance with program rules.
How do I know when to use this form?

- 1. New Addition to the Household: When a new family member joins, document their details.
- 2. Removal of a Household Member: When someone moves out or is no longer part of your household.
- 3. Changes for Recertification: To ensure the housing voucher reflects your current living situation.
Frequently Asked Questions
How do I fill out the Housing Choice Voucher form?
Start by clearly entering your details in each section, ensuring accuracy before submitting.
Who should submit this form?
The head of the household or an authorized representative should complete and submit the form.
Can I edit the PDF after downloading?
Yes, PrintFriendly allows you to edit the document prior to downloading.
Is it necessary to report family member changes?
Yes, any changes must be reported within the specified timeframe to maintain assistance.
How can I share this form with my landlord?
You can generate a share link directly from PrintFriendly or email it.
What if I need help filling out the form?
Reach out to local assistance programs or social workers for guidance.
How do I know my submission was successful?
You will receive a confirmation once the form is processed by the HRA.
What happens if I forget to submit the form?
Delays in reporting can affect your voucher eligibility and benefits.
Can I submit the form online?
Submission methods vary; please check with Richfield HRA for online options.
What should I do if my family member is denied?
Contact Richfield HRA for further assistance and to understand the denial reasons.
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