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Housing Choice Voucher Forms

Housing Choice Voucher / Section 8 Program

To view, complete, and electronically sign these forms please click on the forms below to be taken to the electronic form. Once you complete the form you will be emailed a confirmation. Please verify the confirmation email. Once you have verified the completed form a copy will be emailed to you and to the Pinellas County Housing Authority.

These forms are for existing housing choice voucher holders and housing choice voucher landlords. These forms are not for individuals interested in applying for any Pinellas County Housing Authority program.


Housing Choice Voucher Forms

Form NameDescritption
Amenities Check List Landlords
Landlords complete this form to help the Pinellas County Housing Authority understand what amenities their unit may offer prospective tenants.
Authorization of Release HUD form 9886 Tenants and Homeownership Participants
Tenants complete this form once a year to give the Pinellas County Housing Authority permission to obtain income information from current and former employers, unemployment, IRS and financial institutions (i.e. banks, credit unions, etc.). All household members 18 years or older are required to sign this release form at least once per year.
Authorization of Release of Information Tenants and Homeownership Participants
Tenants complete this form once a year to give the Pinellas County Housing Authority permission to obtain criminal record, identity and marital status, employment income, pensions, assets, federal state or local benefits, child support, student status, disability assistance expenses, medical expenses, utilities and housing history information from any individual, organization, or agency, including any governmental agency. All household members 18 years or older are required to sign this release form at least once a year.
Certificate of Repairs Landlords
Landlords complete this form when they have had an inspection that required repairs and the repairs are now complete. Once the landlord submits this form to the Pinellas County Housing Authority, a re-inspection will be scheduled to verify the repairs.
Change Form Tenants and Homeownership Participants
The formal name of this form is the Interim Change Form. Current tenants complete this form to report any and all changes in household income, family composition (adding or deleting household members) or child care expenses. Applicants would also complete this form to report changes in their mailing address.
Citizen Status 214 Tenants and Homeownership Participants
Tenants complete this form for each member of the household to indicate how that member is lawfully within the United States. This form is completed whenever a new member of the household is added.
Debts Owed Form Tenants and Homeownership Participants
If the household is terminated from the Pinellas County Housing Authority and there is a debt owed then any household member 18 years and older must complete this form to acknowledge the debt owed and to acknowledge that the household members responsible for this debt will not be able to get housing authority assistance until that debt is paid.
Family Self-Sufficiency Pre-Enrollment Form Tenants
Housing Choice Voucher participants complete this form if they are interested in joining the Family Self-Sufficiency program. This helps staff refer participants to other client agencies for additional services.
Fraud Complaint Form Anyone
Any person with information regarding a tenant or a landlord that they believe is not following the Housing Choice Voucher/Section 8 rules can complete this form. They may give their contact information or remain anonymous. Click here and print the Fraud Complaint Form on the next page.
Fraud Notice Tenants and Homeownership Participants
Homeownership Participants complete this form and acknowledge the penalties resulting from fraud.
Homeownership Annual Checklist Homeownership Participants
Participants can use this form to make sure they have completed all the necessary documents required for an annual packet.
Homeownership Responsibilities Homeownership Participants
Participants use this form as a guideline of best practices which helps the participant stay in good standing with the Pinellas County Housing Authority.
Landlord Packet Landlords
This packet provides landlords with an information that explains the program in-depth and gives guidelines for participation.
Lead-Based Paint Notice Tenants and Homeownership Participants
Participants acknowledge that their house, if built before 1978, contains no known lead based infractions.
Live-in-Aide-Application Tenants and Homeownership Participants
Tenants who require a live-in-aide need the live-in-aide to complete this application.
Mutual Termination Agreement Tenants and Landlords
Tenants and landlords who mutually agree to terminate their existing lease and HAP contract must complete this form. It is your responsibility to complete the form and obtain the other party's signature.
No Income Statement Tenants and Homeownership Participants
Tenants must complete this form if they are currently not receiving income from any source. Members of the household who are 18 years or older must also complete this form if they are currently not receiving income from any source.

Notice of non-renewal
Tenants
Tenants must complete this form if they choose not to renew their existing lease with their landlord. Landlords must sign and acknowledge this notice. It is your responsibility to complete the form and obtain the other party's signature.
Personal Declaration of Eligibility Tenants and Homeownership Participants
Tenants complete this form in order to determine eligibility whether it be initial eligibility in order to receive a voucher or continuing eligibility to maintain an existing voucher. Tenants must provide household composition, income, assets, deductions, and criminal history about themselves and all members of the household.
Portability Request Tenants
Tenants complete this form when they want to move to a location that is outside the coverage area of the Pinellas County Housing Authority.
Reasonable Accommodation Request Form Tenants and Homeownership Participants
A household that has a disabled member would complete this form to request an additional item that is not the standard policy or procedure of the Pinellas County Housing Authority.
Rental Increase Request Form Landlords
A current landlord who wants to increase the rent on their unit would complete this form. This form must be submitted 60 days prior to the lease renewal date and must be signed by the current tenant. It is your responsibility to complete the form and obtain the other party's signature.
Self Employment Declaration Tenants and Homeownership Participants
Tenants complete this form when there is no other way for you to report your income.
Statement of Homeownership Obligations Homeownership Participants
Participants must follow HUD's obiligations as a homeowner and program participant.
Supplement to Application for Federally Assisted Housing Tenants and Homeownership Participants
New applicants complete this form to list an emergency contact person or agency. If an applicant chooses not to identify an emergency contact, they are still required to sign the form indicating they were given the chance to complete the form.
Tenant Annual Appointment Checklist Tenants
Tenants can use this helpful checklist to make sure they provide all the necessary documents to complete an annual packet.
Tenant Annual Packet Tenants
This packet is a collection of forms including a checklist to aid the head of household with producing additional items at their annual appointment, a fraud notice, the HUD 9886, the lead based paint form, the tenant responsibilities form, the PCHA information authorization form and the portability form. Each household must complete this packet annually for recertification or for new moves. The head of household must complete and sign each form in this packet.
Tenant Portability Tenants
This form explains portability to tenants. It provides tenants with their rights and the requirements to qualify for portability.
Tenant Responsibilities Tenants
This notice details the rights, requirements, and obligations of the housing choice voucher participant and their participating family members.