Regional Affordable Housing Appendices

ADA

• All ADA & Section 504 Grievance Policies can be found on the City's webpage.
• Verification of Disability Status (PDF)
• Request for Reasonable Accommodation (PDF)

Affirmative Housing Marketing Plan

• Report Housing Discrimination
• Affirmative Marketing Guide (PDF)
• Fair Housing Equal Opportunity Poster sample (PDF)
• Fair Housing Equal Opportunity Logo

Demographics/Race/Ethnicity

• Supplemental Demographic Form (PDF)
• Declaration of Citizenship (PDF)

Student Exception

• Student Policy (PDF)
• Student Exception Request (PDF)

Income & Assets

• Household Self Certification - Annual Recertification (PDF)
• Income & Asset Policy (PDF)
• Asset Policy Exception Request (PDF)
• Rental Subsidy Provider Statement of Income & Assets (PDF)
• Verification of Employment (PDF)
• Applicant/Resident Statement of Assets (under 50,000) (PDF)
• Verification of Assets (over 50,000) (PDF)
• Verification of Unemployment Benefits (PDF)
• Verification of Public Benefits (PDF)
• Zero-Extremely Low-Income Affidavit (PDF)
• Tip Income Affidavit (PDF)
• Seasonal Worker Affidavit (PDF)
• Clarification Record (PDF)

Lease Addendums

• Permanently Affordable Unit Lease Addendum (PDF)
• Rent Approval Form (PDF)
• HOME Tenancy Lease Addendum (PDF)
• Landlord Tenant Handbook (PDF)
• Lead Based Paint Addendum pDF)
• Protect Your Family in Your Home (LBP) (PDF)
• Lead Based Paint Disclosure Form (PDF)

Sample Income & Asset Verification CHFA Forms

(Remember, the City of Boulder allows the use of CHFA forms, however the city does NOT administer or monitor for CHFA.)

• Verification of Public Benefits (PDF)
• Certification of Self Employed & Profit/Loss Statement (PDF)
• Verification of Household Assistance (PDF)
• Financial Assistance Affidavit (PDF)
• Child Support & Alimony Affidavit (PDF)