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Sample Move-In/Move-Out Inspection Form

B. Date Employment Terminated

HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs · 2026 edition · updated 2026-07-29 · United States

    1. Relevant information to verify with third party:
    • a. Date of hire;

    • b. Date of termination;

    • c. Last day actually worked;

    • d. Do you anticipate rehiring this employee? If yes, when?

    • e. Will the employee receive additional paychecks for worker’s compensation?

If yes, provide the name and address of the company through which this can be verified.

  • f. Is employee eligible for unemployment benefits?

  • g. Total severance pay anticipated for the next 12 months.

  1. Acceptable forms of verification:

    • a. Termination of employment verification;

    • b. Letter from employer stating date of termination; and

    • c. Letter from an agency providing unemployment compensation stating that the individual's employment terminated and that unemployment benefits will begin.

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Contents — HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs
HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs
  1. HUD Handbook 4350.3: Occupancy Requirements of Subsidized Mult…
  2. Exhibit 3-12: Section 8, RAP, and Rent Supplement Programs – S…
  3. Exhibit 3-13: Section 236 Without Additional Assistance – Spec…
  4. Exhibit 3-14: Section 236 With Benefit of Additional Assistanc…
  5. Document Package for Applicant's/Tenant's Consent to the Relea…
  6. Exhibit 7-2: Sample Annual Recertification First Reminder Notice
  7. Exhibit 7-4: Sample Annual Recertification Third Reminder Noti…
  8. SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION
  9. Applying the Model Lease for Subsidized Programs to Individual…
  10. Applying the Model Leases for Section 202 PRAC and Section 811…
  11. Sample Move-In/Move-Out Inspection Form
  12. Memorandum February 5, 2002: Fact Sheets for Project-Based Ass…

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