Family Participation Request For Extension of Recertificate/Voucher - Jeammy Valdivia

75 East 6th Street, Hialeah, FL 33010
Phone 305.888.9744 | TTY 305.887.2525
Office Hours: Monday - Friday | 8:30 am - 5:30 pm

Section 8 Department
Phone 305.887.9844 | Fax 305.882.5812

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Fields marked with * must be filled out or form will not submit.

[{"type":"text","required":true,"label":"Tenant/Applicant First Name:","name":"Tenant-Applicant-First-Name","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"Tenant/Applicant Last Name:","name":"Tenant-Applicant-Last-Name","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"Tenant Number:","name":"Tenant-Number","className":"col-lg-4","subtype":"text"},{"type":"text","subtype":"tel","required":true,"label":"Tenant/Applicant Phone Number:","name":"Tenant-Applicant-Phone-Number","className":"col-lg-4"},{"type":"date","required":true,"label":"Today's Date:","name":"Todays-Date","className":"col-lg-4"},{"type":"text","required":true,"label":"I, _________ am requesting that my Voucher of Family Participation in the Section 8 Program be extended for thirty (30) days, as I will not be able to submit the Request for Tenancy Approval to the Housing Authority by the expiration date.","placeholder":"Please type your first and last name.","name":"I-am-requesting-that-my-Voucher-of-Family-Participation-in-the-Section-8-Program-be-extended-for-thirty-30-days-as-I-will-not-be-able-to-submit-the-Request-for-Tenancy-Approval-to-the-Housing-Authority-by-the-expiration-date","className":"d-block","subtype":"text"},{"type":"textarea","required":true,"label":"I have been unable to locate an acceptable unit for the following reasons:","name":"I-have-been-unable-to-locate-an-acceptable-unit-for-the-following-reasons","subtype":"textarea","rows":5,"className":"d-block"},{"type":"text","required":true,"label":"Tenant/Applicant Signature: ","placeholder":"By typing your name, you are signing this form.","name":"Tenant-Applicant-Signature","className":"d-block","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"checkbox-group","required":true,"label":"<div>Note: Request for extensions must be received prior to the expiration of the voucher. At its discretion, the HA may grant a family’s request for one more extensions of the initial term, primarily for these reasons:</div><div><div>- Extenuating circumstances, such as hospitalization or family emergency that has affected the family’s ability to find a unit within the 60-day period.</div><div>- The family was prevented from finding a unit due to the need to locate an accessible unit to accommodate a disabled family member or to family’s need for a unit with four or more bedrooms. A completed search record is required as part of the verification. </div></div>","inline":true,"name":"Note-Request-for-extensions-must-be-received-prior-to-the-expiration-of-the-voucher-At-its-discretion-the-HA-may-grant-a-familys-request-for-one-more-extensions-of-the-initial-term-primarily-for-these-reasons---Extenuating-circumstances-such-as-hospitalization-or-family-emergency-that-has-affected-the-familys-ability-to-find-a-unit-within-the-60-day-period---The-family-was-prevented-from-finding-a-unit-due-to-the-need-to-locate-an-accessible-unit-to-accommodate-a-disabled-family-member-or-to-familys-need-for-a-unit-with-four-or-more-bedrooms-A-completed-search-record-is-required-as-part-of-the-verification","className":"d-block","values":[{"label":"I acknowledge.","value":"i-acknowledge"}]}]

Family Participation Request For Extension of Recertificate/Voucher - Jeammy Valdivia

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