ESG Documents

• Rental Assistance Payment Contracts
  • Subrecipient/Tenant
  • Request for Unit Approval
  • Landlord/Subrecipient
  • Lease Addendum
• Housing Habitability Standard Form
• HUD Lead-Based Paint Disclosure Form
• At-Risk of Homelessness Form
• HUD DV Notices
  • 5380 Notice of Occupancy Rights
  • 5382 Certification of DV-SA
  • 5383 Emergency Transfer Request
  • 5381 Model Transfer Plan
• Habitability Documents
  • Lead-Based Paint Booklet
  • Lead-Based Paint Compliance Checklist
  • Agreement to Lead-Based Paint Ongoing Maintenance Activities - updated October 14, 2020
  • Lead-Based Paint Exemption Form
  • Lead-Based Paint Disclosure Form

HMIS Documents

• HMIS Notice of Privacy Practices
• HMIS Project Intake Form
• HMIS Project Discharge Form
• Arizona Matrix / Housing Plan

Financial Documents

• Landlord
  • ESG Landlord Document Request
  • W9
  • COVID-19 ACH form
• HUBS
  • Claims Process for ESG-CV HUBS
  • Claim Reimbursement Form

Resources

• Explanation of Key ESG-CV Documents
• Homelessness Prevention Reassessment and Request for Continuing Assistance
• Notice of Extension
• Sample - Grievance Policy and Procedure
• Part 5 (Section 8) Income Inclusions and Exclusions
• Zero Income Affidavit
• Intake Appeal Policy and Procedure
• Appeal Questions