SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION
Completing the Document Verification Request
HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs · 2026 edition · updated 2026-07-29 · United States
The Document Verification Requests (Form G-845S and Form G-845) (see Appendix F) should be completed as fully as possible by the submitting agency. It is essential that the form contain sufficient information to verify the immigration status of the non-citizen. The benefit issuing agency or institution completes Section A.
The following chart provides instructions for completing Section A of Form G-845S and Form G-845.
| Field | Instructions |
|---|---|
| 1.Alien Registration Number or I-94 Number |
Enter the alien registration number as the letter A followed by a series of seven, eight, or nine digits. The admission number found on the Form I-94 consists of eleven digits and is found at the upper left–hand corner of the form. It may assist in the various searches made during secondary verification. |
| 2.Applicant’s Name | Enter last, first, and middle name of applicant. If documentation indicates more than one variation of the name, enter all versions. Appendix C provides information on Hispanic names. |
| 3.Nationality | Enter the foreign nation or country to which the applicant owes allegiance. This is normally, but not always, the country of birth. |
| 4.Date of Birth | Enter the birth date using the MM/DD/YYYY format. If the complete date of birth is not known, give available information. |
| 5.Social Security Number |
Enter the non-citizen’s nine-digit Social Security number, if known. Copy the number directly from the non-citizen’s Social Security card whenever possible. |
| 6.Verification Number | Enter the verification number assigned when ASVI was queried, if applicable. If ASVI was not queried, enter “none.” |
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4350.3 REV-1
Appendix 2-B
| Field | Instructions |
|---|---|
| 7.Photocopy of Document Attached and Other Information Attached |
Indicate that INS documentation is attached by checking the top box. Use the bottom box if other information has been included in support or in lieu of INS documents. |
| 8.Benefit/Your Case Number |
If completing the Form G-845S, mark the blocks showing the benefit program(s) for which the non-citizen has applied. If completing the Form G-845, enter the benefit program(s) for which the non-citizen has applied. This block may also be used to show the benefit issuing agency’s or institution’s casenumber. |
| 9. Name of Submitting Official |
The name of the submitting official from the benefit issuing agency or institution should be entered. |
| 10. Title of Submitting **Official ** |
The title of the submitting official from the benefit issuing agencyor institution should be entered. |
| 11. Date | The date the Document Verification Request is being completed by the submitting official from the benefit issuing agency or institutionshould be entered. |
| 12. Telephone Number | The telephone number that the Immigration Status Verifier can contact the submitting official from the benefit issuing agency or institution, if necessary, should be entered |
The name and address of the benefit issuing agency or institution submitting the Document Verification Request should be typed or stamped in the box labeled “ From. ” The INS office address the Document Verification Request is being sent to should be typed or stamped and the box labeled “ To. ”
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Ask AI about this code▸ Contents — HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs
- HUD Handbook 4350.3: Occupancy Requirements of Subsidized Mult…
- Exhibit 3-12: Section 8, RAP, and Rent Supplement Programs – S…
- Exhibit 3-13: Section 236 Without Additional Assistance – Spec…
- Exhibit 3-14: Section 236 With Benefit of Additional Assistanc…
- Document Package for Applicant's/Tenant's Consent to the Relea…
- Exhibit 7-2: Sample Annual Recertification First Reminder Notice
- Exhibit 7-4: Sample Annual Recertification Third Reminder Noti…
-
▸ SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION
Overview- A. Third party to view and/or discuss information for the sole…
- B. Enterprise Income Verification (EIV) information to be view…
- C. Penalties for Misuse of Information:
- D. Certifications:
- USE OF EIV REPORTS
- Exhibit 9-6: National Directory of New Hires (NDNH) Data Eleme…
- Quarterly Wage File
- New Hire File
- Unemployment Insurance File
- Exhibit 9-7: How EIV Calculates Income Discrepancies
- 1. Identifying the Period of Income (POI) for Discrepancy Anal…
- 2. Identifying Projected Income
- 3. Identifying the Actual Income Reported during the Period of…
- 4. Prorating Actual Income
- 5. Calculating Income Discrepancies
- 6. Discrepancy Analysis
- 7. Report Generation
- Glossary
- Adult
- Annual Income
- Application
- Assisted Tenant
- Assistance Animals
- Disabled
- Elderly Family
- Elderly Person
- Eligible Noncitizen
- Eviction
- Expected to Reside
- Fair Housing Act
- Familial Status
- Family
- Federal Financial Assistance (Section 504)
- Federally Assisted Housing
- Foster Adult
- Fraud
- Income Limit
- Income-Targeting
- From 20 U.S.C. 1001:
- (a) Definition of institution of higher education for purposes…
- (5) Certification
- (6) Loss of eligibility
- (1) Principal criteria
- (c) Postsecondary vocational institution
- Live-in Aide
- Market Rent
- Parents
- (Handicapped person)[1]
- Pet Deposit
- Physical Disability
- (Project Rental
- PRAC Operating Rent See Operating Rent (PRAC).
- Screening
- Stalking
- Student
- Tenant Consultation
- Tenant Rent
- Appendix
- U.S. Department of Housing and Urban Development Office of Fai…
- Multifamily Housing
- 3b. Targeted Marketing Activity
- 4b. Proposed Marketing Activities: Community Contacts
- 5a. Fair Housing Poster
- 5b. Affirmative Fair Housing Marketing Plan (AFHM Plan)
- 5c. Project Site Sign
- 6. Evaluation of Marketing Activities
- 7a. Marketing Staff
- 7b. Staff Training and Assessment: AFHM Plan
- 7c. Tenant Selection Training/Staff
- Please Select Yes or No
- 7d. Staff Instruction/Training:
- 9. Review and Update
- Title & Name of Company
- INSTRUCTIONS
- Part 1- Applicant/Respondent and Project Identification.
- Part 2-Type of AFHMP
- Part 3-Demographics and Marketing Area.
- Part 5- Availability of the Fair Housing Poster, AFHMP, and Pr…
- Part 4 - Marketing Program and Residency Preference (if any).
- Part 6 -Evaluation of Marketing Activities.
- Part 7-Marketing Staff and Training.
- Part 8-Additional Considerations.
- Part 9-Review and Update.
- Notification of Intent to Begin Marketing for Initial
- Appendix 2-A
- CHAPTER 5: SECONDARY VERIFICATION PROCEDURES
- Background
- Initiating Secondary Verification
- Obtaining Secondary Verification
- Attachments
- Completing the Document Verification Request
- Completing the Document Verification Request Supplement
- Mailing Document Verification Requests
- USCIS Office Addresses
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- Appendix 3: Acceptable Forms of Verification
- `17. Removal of Subsidy:`
- DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
- WITNESSETH
- NOW THEREFORE,
- 25. Removal of Subsidy:
- `202 PRAC LEASE`
- Applying the Model Lease for Subsidized Programs to Individual…
- Applying the Model Leases for Section 202 PRAC and Section 811…
- Sample Move-In/Move-Out Inspection Form
- Memorandum February 5, 2002: Fact Sheets for Project-Based Ass…