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The HUD 9886 form, officially known as the Authorization for the Release of Information, plays a crucial role in the landscape of public housing assistance in the United States. This form is designed to facilitate the verification process of household income for individuals seeking assistance from the U.S. Department of Housing and Urban Development (HUD) and local Housing Authorities (HAs). By signing the form, household members aged 18 and older grant permission for HUD and HAs to access vital financial information, which includes verification of wages from employers, unemployment compensation details from state agencies, and specific tax return data from federal entities. The need for this form arises from statutory requirements, specifically rooted in the Stewart B. McKinney Homeless Assistance Amendments Act and subsequent housing legislation. The purpose is clear: to ensure that families receive the appropriate level of assistance based on accurate financial assessments. Moreover, the form underscores the privacy protections afforded to applicants, in accordance with the Privacy Act of 1974, ensuring that sensitive information is handled with the utmost care. Each signature on this document is not just a formality; it is a necessary step toward qualifying for housing benefits that can profoundly impact a family's living situation. Understanding the significance and implications of the HUD 9886 form is essential for current and prospective participants in HUD's housing programs.

Hud 9886 Example

Authorization for the Release of Information/

U.S. Department of Housing

Privacy Act Notice

and Urban Development

Office of Public and Indian Housing

to the U.S. Department of Housing and Urban Development (HUD)

OMB CONTROL NUMBER: 2501-0014

and the Housing Agency/Authority (HA)

exp. 07/31/2021

PHA requesting release of information; (Cross out space if none) (Full address, name of contact person, and date)

IHA requesting release of information: (Cross out space if none) (Full address, name of contact person, and date)

Authority: Section 904 of the Stewart B. McKinney Homeless Assistance Amendments Act of 1988, as amended by Section 903 of the Housing and Community Development Act of 1992 and Section 3003 of the Omnibus Budget Reconciliation Act of 1993. This law is found at 42 U.S.C. 3544.

This law requires that you sign a consent form authorizing: (1) HUD and the Housing Agency/Authority (HA) to request verifi- cation of salary and wages from current or previous employers; (2) HUD and the HA to request wage and unemployment compensa- tion claim information from the state agency responsible for keeping that information; (3) HUD to request certain tax return information from the U.S. Social Security Administration and the U.S. Internal Revenue Service. The law also requires independent verification of income information. Therefore, HUD or the HA may request information from financial institutions to verify your eligibility and level of benefits.

Purpose: In signing this consent form, you are authorizing HUD and the above-named HA to request income information from the sources listed on the form. HUD and the HA need this information to verify your household’s income, in order to ensure that you are eligible for assisted housing benefits and that these benefits are set at the correct level. HUD and the HA may participate in computer matching programs with these sources in order to verify your eligibility and level of benefits.

Uses of Information to be Obtained: HUD is required to protect the income information it obtains in accordance with the Privacy Act of 1974, 5 U.S.C. 552a. HUD may disclose information (other than tax return information) for certain routine uses, such as to other government agencies for law enforcement purposes, to Federal agencies for employment suitability purposes and to HAs for the purpose of determining housing assistance. The HA is also required to protect the income information it obtains in accordance with any applicable State privacy law. HUD and HA employees may be subject to penalties for unauthorized disclosures or im- proper uses of the income information that is obtained based on the consent form. Private owners may not request or receive information authorized by this form.

Who Must Sign the Consent Form: Each member of your household who is 18 years of age or older must sign the consent form. Additional signatures must be obtained from new adult members joining the household or whenever members of the household become 18 years of age.

Persons who apply for or receive assistance under the following programs are required to sign this consent form:

PHA-owned rental public housing

Turnkey III Homeownership Opportunities

Mutual Help Homeownership Opportunity

Section 23 and 19(c) leased housing

Section 23 Housing Assistance Payments

HA-owned rental Indian housing

Section 8 Rental Certificate

Section 8 Rental Voucher

Section 8 Moderate Rehabilitation

Failure to Sign Consent Form: Your failure to sign the consent form may result in the denial of eligibility or termination of assisted housing benefits, or both. Denial of eligibility or termi- nation of benefits is subject to the HA’s grievance procedures and Section 8 informal hearing procedures.

Sources of Information To Be Obtained

State Wage Information Collection Agencies. (This consent is limited to wages and unemployment compensation I have re- ceived during period(s) within the last 5 years when I have received assisted housing benefits.)

U.S. Social Security Administration (HUD only) (This consent is limited to the wage and self employment information and pay- ments of retirement income as referenced at Section 6103(l)(7)(A) of the Internal Revenue Code.)

U.S. Internal Revenue Service (HUD only) (This consent is limited to unearned income [i.e., interest and dividends].)

Information may also be obtained directly from: (a) current and former employers concerning salary and wages and (b) financial institutions concerning unearned income (i.e., interest and divi- dends). I understand that income information obtained from these sources will be used to verify information that I provide in determining eligibility for assisted housing programs and the level of benefits. Therefore, this consent form only authorizes release directly from employers and financial institutions of information regarding any period(s) within the last 5 years when I have received assisted housing benefits.

 

 

 

 

Original is retained by the requesting organization.

ref. Handbooks 7420.7, 7420.8, & 7465.1

form HUD-9886 (07/14)

Item #1879

Consent: I consent to allow HUD or the HA to request and obtain income information from the sources listed on this form for the purpose of verifying my eligibility and level of benefits under HUD’s assisted housing programs. I understand that HAs that receive income information under this consent form cannot use it to deny, reduce or terminate assistance without first independently verifying what the amount was, whether I actually had access to the funds and when the funds were received. In addition, I must be given an opportunity to contest those determinations.

This consent form expires 15 months after signed.

Signatures:

 

 

 

_____________________________________________

______________

 

 

Head of Household

Date

 

 

___________________________________________

 

__________________________________________________

________________

Social Security Number (if any) of Head of Household

 

Other Family Member over age 18

Date

__________________________________________________

_______________

__________________________________________________

________________

Spouse

Date

Other Family Member over age 18

Date

__________________________________________________

_______________

__________________________________________________

________________

Other Family Member over age 18

Date

Other Family Member over age 18

Date

__________________________________________________

_______________

__________________________________________________

________________

Other Family Member over age 18

Date

Other Family Member over age 18

Date

 

 

 

 

Privacy Act Notice. Authority: The Department of Housing and Urban Development (HUD) is authorized to collect this information by the U.S. Housing Act of 1937 (42 U.S.C. 1437 et. seq.), Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d), and by the Fair Housing Act (42 U.S.C. 3601-19). The Housing and Community Development Act of 1987 (42 U.S.C. 3543) requires applicants and participants to submit the Social Security Number of each household member who is six years old or older. Purpose: Your income and other information are being collected by HUD to determine your eligibility, the appropriate bedroom size, and the amount your family will pay toward rent and utilities. Other Uses: HUD uses your family income and other information to assist in managing and monitoring HUD-assisted housing programs, to protect the Government’s financial interest, and to verify the accuracy of the information you provide. This information may be released to appropriate Federal, State, and local agencies, when relevant, and to civil, criminal, or regulatory investigators and prosecutors. However, the information will not be otherwise disclosed or released outside of HUD, except as permitted or required by law. Penalty: You must provide all of the information requested by the HA, including all Social Security Numbers you, and all other household members age six years and older, have and use. Giving the Social Security Numbers of all household members six years of age and older is mandatory, and not providing the Social Security Numbers will affect your eligibility. Failure to provide any of the requested information may result in a delay or rejection of your eligibility approval.

Penalties for Misusing this Consent:

HUD, the HA and any owner (or any employee of HUD, the HA or the owner) may be subject to penalties for unauthorized disclosures or improper uses of information collected based on the consent form.

Use of the information collected based on the form HUD 9886 is restricted to the purposes cited on the form HUD 9886. Any person who knowingly or willfully requests, obtains or discloses any information under false pretenses concerning an applicant or participant may be subject to a misdemeanor and fined not more than $5,000.

Any applicant or participant affected by negligent disclosure of information may bring civil action for damages, and seek other relief, as may be appropriate, against the officer or employee of HUD, the HA or the owner responsible for the unauthorized disclosure or improper use.

 

 

 

 

Original is retained by the requesting organization.

ref. Handbooks 7420.7, 7420.8, & 7465.1

form HUD-9886 (07/14)
Get Hud 9886 PDF Form

Form Characteristics

Fact Name Description
Purpose of Form The HUD 9886 form authorizes the release of income information to verify eligibility for assisted housing benefits.
Signatures Required Every household member aged 18 or older must sign the consent form for it to be valid.
Governing Laws The form is governed by several laws, including Section 904 of the Stewart B. McKinney Homeless Assistance Amendments Act of 1988.
Privacy Protections Information obtained through this form is protected under the Privacy Act of 1974, ensuring confidentiality.
Expiration of Consent The consent granted by signing this form expires 15 months after the date of signing.
Who Can Request Information Both the U.S. Department of Housing and Urban Development (HUD) and the Housing Agency/Authority (HA) can request income verification information.
Failure to Sign Consequences Not signing the form may lead to denial of eligibility or termination of housing benefits.
Participants Impacted Individuals applying for various housing assistance programs, like Section 8, must sign the consent form.
Sources of Information Information can be obtained from current and former employers, financial institutions, and state wage information agencies.

Guidelines on Utilizing Hud 9886

Completing the HUD 9886 form, which is also known as the Authorization for the Release of Information, requires careful attention to detail. This form is essential for providing consent to various agencies to verify household income and determine eligibility for housing programs. It is important to fill it out correctly to avoid any delays in the processing of your application or potential denial of benefits.

  1. Begin by locating the section for HUD and Housing Agency/Authority (HA) Information. Enter the full address, name of the contact person, and the date.
  2. Proceed to the IHA Requesting Release of Information section. Again, fill in the full address, contact person’s name, and date if applicable. If no information is needed, cross out the space.
  3. Next, review and provide signatures for each household member over the age of 18. Ensure all signatures are dated and that their Social Security numbers (if any) are included.
  4. Provide consent for HUD and HA to request and obtain income information. Read through this section carefully before signing.
  5. Complete the Sources of Information to be Obtained section, noting that consent is limited to certain periods and types of income.
  6. Sign and date the consent section at the bottom of the form. Each adult household member must do this.
  7. After filling out all sections accurately, retain a copy of the form for your records before submission.

What You Should Know About This Form

What is the HUD 9886 form?

The HUD 9886 form is an authorization for the release of information used by the U.S. Department of Housing and Urban Development (HUD) and local Housing Agencies (HAs). It enables these entities to verify your income and eligibility for assisted housing benefits. The form requires signatures from all household members aged 18 or older and is vital for determining your eligibility and the level of assistance you might receive.

Why do I need to sign the HUD 9886 form?

You must sign the HUD 9886 form to grant permission for HUD and your local HA to obtain income verification from various sources. Without this authorization, your application for assistance may be denied, or benefits could be terminated. The process ensures that your household’s income is accurately assessed, and the assistance you receive is appropriate based on your situation.

Who needs to sign the HUD 9886 form?

Every adult household member aged 18 or older must sign the HUD 9886 form. This requirement remains in effect whenever new adult members join the household or when existing members reach the age of 18. Signing is crucial for accessing benefits under various housing programs.

What types of information can HUD and the HA collect with this form?

This form allows HUD and the HA to request verification of income from several sources. This includes wages from current or former employers, unemployment compensation information from state agencies, and specific tax return data from the U.S. Social Security Administration and the Internal Revenue Service. The goal is to ensure that your household's income is accurately represented and validated.

What happens if I don't sign the HUD 9886 form?

Failure to sign the HUD 9886 form can lead to significant consequences. You may face a denial of eligibility for housing assistance or even termination of benefits currently received. If disagreement arises due to this denial, procedures defined by the HA’s grievance policies can be utilized to address your concerns.

How long is the HUD 9886 form valid?

The consent given through the HUD 9886 form is valid for 15 months from the day it is signed. After this period, you may need to complete a new form to continue the verification process or renew your eligibility for assistance.

What protections are in place for my personal information?

Your personal information collected through the HUD 9886 form is protected under the Privacy Act of 1974. HUD and local HAs are required to keep your data confidential and may only disclose it under circumstances permitted by law. Staff handling this information may face penalties for any unauthorized use or disclosure.

Can private landlords request information from the HUD 9886 form?

No, private landlords cannot request or receive information authorized by this form. The information collected is strictly for verifying eligibility and benefits for HUD-assisted housing programs, and it remains confidential between you and the respective agencies.

What are the consequences of misusing the consent given in the HUD 9886 form?

Misuse of the information from the HUD 9886 form can lead to serious penalties under federal law. Individuals who knowingly disclose or misuse information may face misdemeanor charges and fines up to $5,000. Additionally, those affected by unauthorized disclosures may seek civil action for damages against those responsible for the breach.

What should I do if I have further questions about the HUD 9886 form?

If you have additional questions regarding the HUD 9886 form or its implications, it’s recommended to contact your local Housing Agency or HUD directly. They can provide personalized guidance and any further details needed to assist you in understanding the process and requirements.

Common mistakes

When filling out the HUD 9886 form, attention to detail is crucial. One common mistake people make is neglecting to provide accurate contact information for both the Public Housing Agency (PHA) and themselves. If this information is incorrect or incomplete, it can delay the processing of your application. Always double-check the addresses and names of contact persons before submitting the form.

Many individuals forget to ensure that all members aged 18 and older in the household have signed the consent form. Each adult must provide their signature; otherwise, it may lead to a denial of eligibility for housing assistance. Missing signatures can disrupt the entire application process, causing unnecessary delays.

Another frequent error is failing to fully understand the purpose of the consent form. Applicants often sign without realizing that this consent allows HUD and the HA to verify important income information. Familiarizing oneself with what is being authorized can prevent confusion during the review process.

Some people neglect to provide detailed information regarding past wages or unemployment. The form requests a history of income over the past five years, and skipping this can hinder the ability of HUD and the HA to accurately determine eligibility. It’s essential to include all relevant employment and income records for a smooth application.

In addition, many applicants do not properly cross out spaces that do not apply to them. If no information is available for a specific section, ensure that you cross it out instead of leaving it blank. Leaving spaces unaddressed can raise questions and lead to complications.

Another mistake is ignoring the expiration date of the consent form. It expires 15 months after signing, and if the application is not submitted within that time, applicants may need to fill it out again. Being mindful of this timeline can save you from potential hiccups.

Additionally, failing to provide Social Security Numbers for all household members aged six and older is a critical mistake. This information is mandatory. Not submitting it can severely impact eligibility, so ensure that these details are included.

People sometimes misunderstand the kind of information that HUD will request from financial institutions. Many assume the form only pertains to employment, but it also includes details about unearned income, such as interest or dividends. Providing clear and complete information is essential to facilitate the verification process.

Moreover, applicants should be aware that omitting necessary income documentation can lead to further questions from HUD or the HA. Providing documentation as soon as possible helps in expediting your application and avoids unwanted delays.

Finally, some individuals underestimate the importance of reviewing their completed form before submission. Errors or omissions can have serious repercussions, ranging from delays to outright denials. A thorough review allows for corrections that can ease the approval process.

Documents used along the form

The HUD 9886 form, officially titled "Authorization for the Release of Information," is a crucial document used in the housing assistance application process. Alongside this form, several other forms and documents are typically required or beneficial for those seeking assistance from the Department of Housing and Urban Development (HUD). Below is a list of commonly used documents that may be needed in conjunction with the HUD 9886 form.

  • HUD 50058 Form: This form documents the details of the family's composition and income. It is essential for public housing agencies (PHAs) to determine eligibility for housing assistance.
  • HUD 92006 Form: Also known as the "Supplemental Information Form," this document provides additional information on family characteristics that may be relevant for determining housing assistance eligibility.
  • Form W-4: The Internal Revenue Service's withholding allowance certificate allows employers to determine the amount of federal income tax to deduct from employees' paychecks. This form helps verify income and tax situations.
  • Verification of Income: This document can include pay stubs, bank statements, or employer letters confirming current wages and salary. It assists in verifying the household's income as stated on the HUD 9886 form.
  • Social Security Award Letter: This letter outlines the benefits applicants receive from Social Security. It is relevant for individuals receiving Social Security disability or retirement benefits and supports income verification.
  • Assistance Animal Documentation: If applicable, this includes any necessary documentation supporting the need for an assistance animal. Generally this is required for those requesting reasonable accommodations within housing programs.

Gathering the appropriate documents along with the HUD 9886 form streamlines the application process for housing assistance. Having these documents ready can significantly improve the chances of receiving timely approvals and benefits.

Similar forms

  • Form HUD-50058: This form is used by public housing agencies to report tenant information to HUD. Like the HUD 9886, it collects data on household income and eligibility for assistance, ensuring compliance with housing regulations.
  • Form SSA-3288: This is a Social Security Administration form that authorizes the release of an individual’s Social Security information. Similar to HUD 9886, it requires consent for verifying income but pertains specifically to Social Security data.
  • Form IRS 4506-T: Request for Transcript of Tax Return allows individuals to obtain their tax return transcripts. This form serves a similar purpose to HUD 9886 by authorizing the sharing of income information, which is crucial for verifying eligibility in housing assistance programs.
  • Form SF-85: The Questionnaire for Non-Sensitive Positions is used for background checks. Like the HUD 9886, it involves consent to gather personal information, ensuring that all applicants for federal housing programs are screened properly.
  • Form HUD-92006: This is the Supplement to Application for Housing Assistance. This form collects additional information about eligibility and income verification, mirroring the intent of HUD 9886 in establishing a household's need for assistance.
  • Form HHS-690: This is a request for medical and financial information from applicants for assistance. It functions similarly to HUD 9886 by requiring authorization to collect data necessary for determining eligibility for health-related housing benefits.

Dos and Don'ts

When filling out the HUD 9886 form, consider the following dos and don'ts:

  • Do: Provide accurate information regarding your household members and their social security numbers.
  • Do: Ensure each adult member of your household signs the form.
  • Do: Read the privacy notice carefully to understand how your information will be used.
  • Do: Keep a copy of the completed form for your records.
  • Don’t: Leave any sections of the form blank; fill in all required fields.
  • Don’t: Provide false or misleading information; this can lead to penalties.
  • Don’t: Forget to date your signatures; incomplete forms may delay processing.
  • Don’t: Share your form with unauthorized individuals; maintain confidentiality.

Misconceptions

  • Misconception 1: The HUD 9886 form is only for people applying for new housing assistance.

    • This form is needed not just during initial application. People receiving ongoing assistance may also need to sign it when changes occur in household composition or income.

  • Misconception 2: Signing the HUD 9886 form grants HUD access to all personal financial information.

    • In fact, the form gives HUD authorization to request specific income information. This includes wages, unemployment compensation, and tax information from designated sources only.

  • Misconception 3: Only the head of the household needs to sign the form.

    • Every adult member of the household aged 18 or older must sign. This requirement ensures that all adults authorize access to their income information.

  • Misconception 4: Completing the HUD 9886 automatically guarantees housing benefits.

    • While the form is a necessary part of the process, signing it does not guarantee eligibility. Additional factors, like income and household size, are also considered.

  • Misconception 5: The information obtained through the HUD 9886 form can be shared freely with anyone.

    • HUD is required to protect the information gathered. It cannot be disclosed without proper consent or outside of legally permitted situations.

  • Misconception 6: Not signing the consent form has no real consequences.

    • Failure to sign can lead to denial of eligibility or termination of benefits. Prospective participants should sign to avoid disruptions in assistance.

  • Misconception 7: The form expires immediately after it is signed.

    • The HUD 9886 consent is valid for 15 months after signing. However, it must be renewed if there are changes in the household.

  • Misconception 8: The HUD 9886 form does not require detailed income information.

    • The form specifically asks for income information from various sources to ensure accurate verification of eligibility for housing assistance.

  • Misconception 9: The form is only for public housing assistance.

    • This form is applicable for multiple programs, including Section 8 and Indian housing assistance. It serves various housing programs offered by HUD.

Key takeaways

The HUD 9886 form is essential for individuals applying for housing assistance. Here are key takeaways to consider:

  • Consenting to Information Release: By signing the form, you allow HUD and the Housing Agency to obtain income information from designated sources to verify your eligibility for housing benefits.
  • Who Must Sign: Every household member aged 18 and older must sign the consent form. This requirement ensures that all relevant information about household income is collected.
  • Consequences of Not Signing: Failing to sign the form may lead to denial of assistance or termination of benefits. It's important to understand the potential implications before deciding.
  • Information Sources: The form authorizes HUD to request income information from various sources, including employers and financial institutions, helping to confirm reported income.
  • Privacy Protection: HUD must protect the information collected in accordance with the Privacy Act. Unauthorized disclosures or improper use of this information can result in penalties.
  • Expiration of Consent: The consent provided via the form is valid for 15 months from the date of signing. It's crucial to keep track of this timeline to maintain eligibility for assistance.

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