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The H1857 form plays a critical role in assessing the living arrangements and financial responsibilities of tenants in a household. Completed by the landlord or their representative, this form is essential for gathering necessary information to support the evaluation of a household’s situation. Key details include the tenant's move date, the number of occupants living in the residence, and their employment status. The form also addresses critical financial components such as the total rent amount, how often it is paid, and whether the tenant is current on rent. Furthermore, it inquires about utility payments, specifying whether any utilities are included in the rent or the responsibility of the tenant. Completing the H1857 form ensures that the department can accurately assess the household's situation while maintaining adherence to required protocols. Timely submission of the completed form is vital to avoid any delays in processing and to support the tenant effectively.

H1857 Example

(Client Name and Address)

Date

Caseworker

Office Address and Phone No. with Area Code

Name of Client

Case No.

Address (Street, City, State and ZIP Code)

The person named above reports renting this residence from you. To correctly evaluate the household's situation, the department needs your assistance.

Please complete the information requested on the back of this letter and return it to me in the postage paid envelope provided.

Please return it as soon as possible, but no later than

.

 

 

Date

 

I hereby give my permission to release the information requested on this form.

Signature

Date

Form H1857, 5-2016-E

Landlord Verification

Form H1857

May 2016-E

(This form must be completed by the client's landlord or a representative.)

1.Tenant Move Date:

2.How many people live in the house or apartment?

3.List the names of all people who live in the house or apartment. List their employer, if known:

Name of Person

Working?

Employer

 

Yes

No

 

 

Yes

No

 

 

Yes

No

 

 

Yes

No

 

 

Yes

No

 

4. Questions about the rent payment:

Amount of RentTenant's Portion of RentPerson making payment?

How often paid?

Weekly

Every Two Weeks

Twice a Month

Monthly

Method of payment?

Cash

Check

Money Order

 

Other (explain):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is the tenant current in paying the rent?

Yes

No If "No," when was the last month rent was paid?

 

 

 

 

What is the total amount of past due rent?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Questions about the utilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are all utilities included in rent?

 

 

 

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Utilities the tenant is responsible for paying (check all that apply):

 

 

 

Gas

 

 

Electric

 

 

 

Telephone

 

 

 

 

 

 

 

 

 

Utility bills are paid directly to:

 

 

 

 

 

 

 

 

Landlord

 

 

Utility Company

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please provide the tenant's complete residential address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

Apt. No.

 

 

 

City

 

 

 

 

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Landlord or Representative Name (printed)

 

Signature – Landlord or Representative

 

Date

Business Address or Residential Address

Telephone No. with Area Code

Form Characteristics

Fact Name Details
Form Title Landlord Verification Form H1857
Effective Date May 2016
Purpose The form is used to verify a tenant's residency and rental situation.
Required Signatures Must be signed by the landlord or a representative.
Information Required Includes tenant's move date, number of occupants, rent payment details, and utilities.
Submission Deadline Must be returned as soon as possible, but no later than the specified date.
Utility Responsibility The form asks whether utilities are included in the rent or if they are paid separately.
Tenant Data Collection Requires listing names of all occupants and their employers if known.
Governing Law This form is governed by state housing regulations, variations apply by jurisdiction.
Date of Original The version indicates "5-2016-E," referring to the latest revision date.

Guidelines on Utilizing H1857

Please follow the steps below to accurately fill out the H1857 form. The information collected will be used for an evaluation regarding the household's situation. It is important to complete the form thoroughly and return it promptly.

  1. Start by entering the Client Name and Address. Make sure to include all necessary details.
  2. Fill in the Date at the top of the form.
  3. Provide the Caseworker Office Address and Phone Number, including the area code.
  4. Write down the Name of Client and Case Number.
  5. Complete the Address where the client resides, including street, city, state, and ZIP code.
  6. In the section requesting tenant information, indicate the Tenant Move Date.
  7. Specify how many people live in the household.
  8. List the names of all residents in the house or apartment. If you know their employers, include that information as well.
  9. Answer the questions regarding rent payment: Generally indicate the amount of rent, tenant's portion, and who makes the payments.
  10. Detail how often the rent is paid: weekly, every two weeks, twice a month, or monthly.
  11. Mark the method of payment used by the tenant. Check all that apply.
  12. Indicate if the tenant is current on rent payments, and provide the last month paid and any total past due rent if applicable.
  13. Address the section on utilities: Confirm if all utilities are included in the rent.
  14. List the utilities the tenant is responsible for paying, checking all that apply.
  15. Indicate whether utility bills are paid directly to the landlord or utility company.
  16. Provide the tenant’s complete residential address again, if needed, including street, apartment number, city, and ZIP code.
  17. Have the landlord or representative print their name and sign the form.
  18. Fill out the Business Address or Residential Address of the landlord or representative.
  19. Finally, include the Telephone Number with area code.

What You Should Know About This Form

What is the purpose of the H1857 form?

The H1857 form, also known as the Landlord Verification Form, is used to gather information about a tenant's housing situation. This form is essential for determining eligibility for various assistance programs. By collecting detailed information about the tenant's living arrangement, rent payment history, and utility responsibilities, the relevant department can make informed decisions regarding aid and support for the household. It must be completed by the tenant’s landlord or a representative.

Who is required to fill out the H1857 form?

The H1857 form must be filled out by the tenant's landlord or an authorized representative. This individual should have sufficient knowledge about the tenant's living situation and financial obligations. The form requires honest and accurate responses to ensure that accurate evaluations can be made regarding the tenant's assistance needs.

What information is required on the H1857 form?

The H1857 form requests a variety of information about the tenant and their household. Key details include the tenant's move-in date, the number of people living in the residence, the names and employers of all occupants, and details about rent payments. Additionally, landlords must indicate whether the tenant is current on rent payments and provide information about utilities that may be included in the rent or paid directly by the tenant.

How should the completed H1857 form be submitted?

Common mistakes

When filling out the H1857 form, many individuals overlook essential details that can lead to processing delays or even rejection of the application. One common mistake is failing to provide complete and accurate information about the tenant's household. The form requires the names of everyone living in the residence, along with their employers if known. Omitting any member of the household not only compromises the integrity of the information but may also affect the assistance that the tenant is eligible to receive.

Another frequent error is neglecting to detail the rent payment information correctly. Rent amounts, the tenant's portion, and the frequency of payments must be stated clearly. In some cases, individuals forget to indicate whether the tenant is current with their rent payments. If the answer is "No," it's crucial to mention when the last rent was paid and the total amount that is past due. This information helps in assessing the tenant’s financial situation and their eligibility for various assistance programs.

People often encounter issues due to improper signatures. The H1857 form must be signed by the landlord or a representative. A common oversight is the absence of a signature or the use of a stamp instead of a handwritten name. These actions can lead to complications in the verification process. It’s vital that the form is signed appropriately to validate the information provided.

Lastly, individuals sometimes submit the form without verifying that all required sections are completed. The back side of the letter includes specific questions that must be answered accurately. Incomplete sections can create confusion and prompt further inquiries from the agency, delaying the overall process. Paying close attention to detail and reviewing the form before submission can prevent these avoidable setbacks.

Documents used along the form

When dealing with the H1857 form, which is primarily focused on landlord verification related to a tenant's situation, several additional documents can be essential for a comprehensive review. Each of these forms serves a specific purpose and can help clarify various aspects of the tenant's circumstances. Understanding these documents can streamline the processing and evaluation of the situation at hand.

  • Lease Agreement: This is a legal document between a landlord and tenant that outlines the terms of rental, including duration, rent amount, and responsibilities of both parties. It serves as proof of the rental arrangement.
  • Income Verification Form: Landlords or employers may complete this form to provide details about the tenant's income. This information is crucial for evaluating the tenant's ability to pay rent consistently.
  • Utility Bills: Recent utility bills can demonstrate the tenant’s financial responsibilities and payment habits. They can also verify whether utilities are included in the rent or need to be paid separately by the tenant.
  • Application for Rental Assistance: If the tenant is applying for financial help, this form outlines the applicant’s financial situation, including income, expenses, and any previous assistance received.
  • Proof of Identification: A government-issued ID or other forms of identification may be required to verify the identity of the tenant. This ensures that the information on forms corresponds with the actual person seeking assistance.
  • Tenant History Report: This document provides background information about the tenant’s rental history, including prior leases and any issues like evictions. It helps assess the tenant's reliability based on past behavior.

Each of these documents plays a significant role in evaluating a tenant’s situation thoroughly. They can facilitate a more informed decision-making process, ensuring that all relevant factors are taken into account when managing rental agreements and assistance programs.

Similar forms

The H1857 form, which is used for landlord verification, shares similarities with several other documents in the realms of tenancy, lease agreements, and residency confirmations. Here are nine similar documents and their key aspects:

  • Rental Application Form: This document collects information from prospective tenants regarding income, employment, and rental history to evaluate their suitability for tenancy.
  • Lease Agreement: This legal contract outlines the terms of a rental agreement, including rent amount, duration, and responsibilities of both landlord and tenant.
  • Rent Payment Record: A document that tracks rent payments made by the tenant, including dates and amounts, establishing a history of compliance with rental terms.
  • Utility Payment Agreement: Similar to the H1857, this form captures the responsibilities of the tenant regarding utility bills, detailing who pays what and ensuring clarity on financial obligations.
  • Affidavit of Residence: This sworn statement confirms a person’s residential address, often used in legal matters to establish residency status.
  • Tenant Eviction Notice: A notice communicated by the landlord to the tenant regarding any breach of lease terms, signifying steps towards potential eviction.
  • Housing Assistance Application: This application gathers personal and housing information from individuals seeking government assistance, similar to the verification process in the H1857.
  • Roommate Agreement: A document created among roommates outlining shared responsibilities, rent distributions, and living arrangements, akin to clarifying living conditions in the H1857.
  • Sublet Agreement: This agreement allows a tenant to rent their space to another party, formalizing permissions and terms of occupation, akin to verification of residency and payments outlined in the H1857.

Dos and Don'ts

When filling out the H1857 form, it’s important to follow specific guidelines to ensure accuracy and compliance. Below is a list of do's and don'ts to help navigate this process.

  • Do fill in all required fields completely, including the client’s name and address.
  • Do provide accurate contact information for the caseworker.
  • Do make sure the tenant's move date is clearly stated.
  • Do include the number of people living in the residence.
  • Do specify the method of rent payment and if the tenant is current on rent.
  • Don't leave any sections blank; incomplete information can delay the process.
  • Don't provide outdated contact information or signatures.
  • Don't exaggerate or provide misleading information about the tenant's payment status.
  • Don't forget to sign and date the form before submission.

Misconceptions

Misconceptions about the H1857 form can lead to confusion and hinder the smooth processing of rental situations. Here are some common misunderstandings associated with this important document:

  • 1. The form is optional. Many people believe that completing the H1857 form is optional, but it's actually a necessary step for the evaluation process. This form provides crucial information that helps determine the household's situation.
  • 2. Only landlords can fill out the form. While the form is primarily completed by landlords, a representative can also fill it out on their behalf. This allows for flexibility and ensures that the necessary information is gathered.
  • 3. Personal information is not confidential. Some may think that sharing details about the tenant or the rental situation is unprotected. However, the information collected on the H1857 form is treated with utmost confidentiality and is solely used for the stated purpose.
  • 4. It can be returned anytime. There is a misconception that the H1857 form can be returned at one's convenience. It is important to submit the form as soon as possible to avoid delays in processing the tenant’s case.
  • 5. All utilities are covered by the landlord. Many assume that landlords cover all utility costs, but this is not always true. The form includes questions about which utilities the tenant is responsible for, helping to clarify the rental agreement.

Understanding these misconceptions can lead to better communication between tenants, landlords, and caseworkers. Timely and accurate completion of the H1857 form is crucial for ensuring that assistance is provided efficiently.

Key takeaways

  • Form H1857 is primarily designed for landlords to provide verification of a tenant's housing situation.
  • It requires the landlord's signature, which signifies consent to release necessary information about the tenant.
  • Timeliness is crucial; landlords should complete and return the form promptly using the prepaid envelope provided.
  • The form includes sections that inquire about the number of occupants living in the rented unit.
  • Rent payment details are essential; landlords must specify the amount of rent, the tenant's portion, and payment history.
  • Utility responsibilities must be clearly outlined to evaluate the tenant's financial situation.
  • Providing information about the tenant's complete residential address ensures accurate processing and follow-up.