... HUD-91067 Form VAWA. Child Support Verification Form School Readiness Program (Rev. income for non-custodial . 9.22.17) Child Support Verification – Rev. Child Support/Alimony Verification. 1, chg. 4, HUD Occupancy Handbook, Chapter 5: Determining Income & Calculating Rent (5-6, F): Alimony or Child Support Use to verify child support or alimony through the court system. Obtain printout and depository number from Child Support Enforcement office at www.myfloridacounty.com Title: Child Support Verification form (HUD) Created Date: 11/18/2013 1:57:02 PM Employers can respond using one of these options: Complete and return the form you received from the state. See which states accept the standard VOE form. 6. sample child support or alimony verification to: from: phone: email: re: unit # s s # household member release to the household member: you do not have to sign this form if the name or address of either the project or provider is left blank. Complete and return a standard VOE response form if that state accepts it. Verification of Child Support Payments (Name of HOME Participating Jurisdiction) AUTHORIZATION: Federal Regulations require us to verify Child Support Payments made to all members of the household applying for participation in the HOME Program which we … Interest/dividends (1) Passbook showing interest Dated and signed verification Same as 6A but obtained by . • This form is to be used only if third party verification has been attempted, but cannot be obtained. exclusion on adjusted gross (3) Copy of uncashed check. may ask Applicants to bring to the Certification or Recertification Interview, and in regard to child support – it stipulates a copy of court order. received and period covered. Court Verification of Child Support or Alimony. HUD and any owner (or any employee of HUD 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 this verification form is restricted to the purposes cited above. Note: If you checked numbers 2, 3, 4, ... Use of the information collected based on this verification form is restricted to the purposes cited above. with HOPWA for ing amount of support. Auxiliary Apparatus – Verification of Cost of Auxiliary Apparatus for Disabled Caretaker Verification (THA) Child Support Verification (AG Form) Childcare Costs Verification – Day Care Center Childcare Costs Verification – Babysitter Childcare Expenses – Non-reimbursement Comply w/Lease Verification Debit /Express Card Verification Each state child support agency sends its own verification of employment (VOE) form. In the 4350.3 rev. Child Support Enforcement Unit) to verify payments. This can be used by a 3rd party making payments. 9.22.17 jg Page 1 of 2 If you have a court order for Child Support, please attach proof. • This form is not required (nor is any other alimony/child support verification) if tenant states on their application that there is no court order and support is not received or expected to be received. form completed by savings means of oral contact with parent.)