Web to file a complaint of discrimination, write hud director, office of civil rights, 451 7th street s.w., washington, d.c. Hud is an equal opportunity provider and employer. Dating violence, sexual assault, or stalking, and alternate documentation. Certification of domestic violence, dating violence, sexual assault, or stalking, and alternate documentation. Please note that though vawa references women, rights and protections are extended to all victims independent of gender identity.

Department of housing and urban development omb approval no. Certification of domestic violence, dating violence,sexual assault, or stalking, and alternate documentation. Department of housing and urban development. Web to file a complaint of discrimination, write hud director, office of civil rights, 451 7th street s.w., washington, d.c.

The violence against women act (“vawa”) protects applicants, tenants, and program participants in certain hud programs from being evicted, denied housing assistance, or terminated from housing assistance based on acts of domestic violence, dating violence, sexual assault, or stalking against them. Domestic violence, and urban development. Dating violence, sexual assault, or stalking, and alternate documentation.

Department of housing and urban development omb approval no. Department of housing omb approval no. Domestic violence, and urban development. Department of housing and urban development omb approval no. 06/30/2017 certification of domestic violence, dating violence, sexual assault, or stalking, and alternate documentation purpose of form:

Please note that though vawa references women, rights and protections are extended to all victims independent of gender identity. 06/30/2017 dating violence, sexual assault, or stalking, and alternate documentation Department of housing and urban development omb approval no.

Date The Written Request Is Received By Victim:

06/30/2017 certification of domestic violence, dating violence, sexual assault, or stalking, and alternate documentation purpose of form: Web to file a complaint of discrimination, write hud director, office of civil rights, 451 7th street s.w., washington, d.c. Department of housing omb approval no. Domestic violence, and urban development.

The Violence Against Women Act (“Vawa”) Protects Applicants, Tenants, And Program Participants In Certain Hud Programs From Being Evicted, Denied Housing Assistance, Or Terminated From Housing Assistance Based On Acts Of Domestic Violence, Dating Violence, Sexual Assault, Or Stalking Against Them.

Domestic violence, and urban development. Certification of domestic violence, dating violence, sexual assault, or stalking, and alternate documentation. To be completed by or on behalf of the victim of. Certification of domestic violence, dating violence,sexual assault, or stalking, and alternate documentation.

The Violence Against Women Act (“Vawa”) Protects Applicants, Tenants, And Program Participants In Certain Hud Programs From Being Evicted, Denied Housing Assistance, Or Terminated From Housing Assistance Based On Acts Of Domestic Violence, Dating Violence, Sexual Assault, Or Stalking Against Them.

(12/2016) certification of domestic violence, dating violence, sexual assault, or stalking, and alternate documentation. Department of housing and urban development omb approval no. The violence against women act (“vawa”). Phas may also accept a record of a federal, state, tribal, territorial or local law enforcement agency, court, or administrative agency.

The Information Provided Must Be Kept Strictly Confidential.

Please note that though vawa references women, rights and protections are extended to all victims independent of gender identity. 06/30/2017 dating violence, sexual assault, or stalking, and alternate documentation. Tenants and applicants may use this form to certify victim status and request vawa protections. Department of housing omb approval no.

Department of housing omb approval no. The violence against women act (“vawa”) protects applicants, tenants, and program participants in certain hud programs from being evicted, denied housing assistance, or terminated from housing assistance based on acts of domestic violence, dating violence, sexual assault, or stalking against them. Domestic violence, and urban development. (12/2016) certification of domestic violence, dating violence, sexual assault, or stalking, and alternate documentation. Certification of domestic violence, dating violence,sexual assault, or stalking, and alternate documentation.