Resident Certification Forms

Please note: Newly updated fillable forms may not display e-signatures properly when accessed via a web link. To access and complete the e-signature fields, please download the form first.

Required Forms

• Household Eligibility Application | Instructions Rev 02/27/2025

Tenant Income Certification
Note that the TIC now comes in two versions - one with automatically-calculated Totals fields, and one without. Managers can use either version:

• Tenant Income Certification (with auto-calc fields) | Instruction Rev 05/13/2025
• Tenant Income Certification (WITHOUT auto-calc fields) | Instruction Rev 01/28/2025

For recertifications at 100% income- and rent-restricted LIHTC properties:

• Self-Certification of Annual Income | Instruction Rev 01/23/2025

Additional Forms

If household members have more employers than can fit on the HEA, managers can use this form to document additional employers:

• Additional Employment (HEA Page 1A )
• Household Demographics Reporting Form (for LIHTC Properties Only) Rev 5/2025
  • The following form should be filled out at all initial move-ins at the time of lease signing. Residents are not required to disclose demographic information but must be given the opportunity to disclose. Use this form to complete related fields in WBARS. DO NOT send the form to WSHFC:

Income and Asset Verification Forms

The following forms are provided as a courtesy if companies cannot verify income/assets via Level 5 or Level 4 verification. For more information about how to verify income/assets, review Chapter 5 of the Tax Credit Compliance Procedures Manual:

• Verification Cover Letter Rev 06/2010 | Instruction Rev 06/2010
• Employment Verification Rev 10/2017 | Instruction Rev 10/2017
• UW Verification of Employee Income: Explanation Letter | VOE Request Form
• Self-Employment Income Worksheet Rev 01/2014 | Instruction Rev 01/2014
• Self-Employment Verification (include signed copy of last year return) Rev 10/2017 | Instruction Rev 10/2017
• Seasonal Worker Statement Rev 01/2009 | Instruction Rev 01/2009
• Military Pay Verification Rev 12/23/2011 | Instruction Rev 12/23/2011
• Pension Verification Request Rev 01/2009 | Instruction Rev 01/2009 | Helpful: Veterans Benefits Administration
• Annuity, Stock Verification, or 401(k) Rev 10/2017 | Instruction Rev 10/2017
• Verification of Veterans Benefits New 09/2019 | Instruction New 09/2019
• Real Estate Evaluation Worksheet (if applicable) Rev 01/2014 | Instruction Rev 01/2014
• Student Status and Financial Assistance Verification - NEW Jan 2025
• Income Verification/Clarification by Telephone Rev 02/2013 | Instruction Rev 02/2013

Commission Special Needs Commitments

• Proof of Age (for properties with Elderly Set-Asides)
• Disability Status Certification Rev 10/2019 | Instruction properties with Disabled Set-Aside Rev 10/2019
• Disability Verification Rev 10/2019 | Instruction properties with Disabled Set-Aside Rev 10/2019
• Homeless Certification Rev 04/27/2011 | Instruction properties with Homeless or Transitional Set-Aside
• Farmworker Household Initial Certification Rev 03/30/2020 | Instruction prove $3,000 farm work Rev 03/30/2020
• Farm Work Reference Rev 02/2008 | Farm Work Household Certification Training Video 05/2008
• Farm Work Status Verification/Clarification by Telephone 03/30/2020 | Instruction 03/30/2020
• Verification of Farm Work Status Rev 03/30/2020 | Instruction Rev 03/30/2020

Students

• Student Certification Rev 04/2017 | Instructions Rev 04/2017
• Student Status Verification Use this form if the only thing you need to verify is the status of a household member who is a student. If you need to verify Student Financial Assistance income, please use the new Student Status and Financial Assistance Verification form under Income and Asset Verification Forms.
• Helpful: Student Clearinghouse
• Fulltime Student Job Training Exception Verification Rev 04/2017 | Instructions Rev 04/2017
• Foster Care Verification Rev 06/2012 | Instructions Rev 06/2012

Miscellaneous

• Estrangement Certification Rev 12/23/2011 | Instructions Rev 12/23/2011
• Identification Certification Rev 01/2009 | Instructions Rev 01/2009
• Live-In Aide Agreement Rev 04/23/2015 | Instructions Rev 01/2014
• Pregnancy Self-Certification Rev 01/2009 | Instructions Rev 01/2009

Lease Riders

• REMINDER: A revised version of the LIHTC Lease Rider was published in December 2024. All LIHTC properties MUST have all residents sign the new Lease Rider prior to 12/31/2025.
• Tax Credit Lease Rider - Tax Credit Property Rev 12/2024
• Lease Rider for Tax Credit ARRA Project Rev 12/2024
• Bond Lease Rider - Bond Property Rev 01/2009 | Instructions Rev 01/2009 | Fillable with Signature 05/05/2020
• Lease Addendum for Affordable Housing Program (FDIC) Rev. 07/2024