Article Guide
The H1857 form serves as a crucial tool in the evaluation of a household's living situation, particularly in the context of rental agreements. Designed for completion by a landlord or their representative, this form collects essential information about the tenant, including their move-in date and the number of occupants residing in the rental unit. The landlord is also asked to provide details about the rent payment, such as the amount due, the tenant's portion, and the payment frequency. Understanding the financial aspects of the tenancy is vital, which is why the form includes questions about the tenant's payment history and any outstanding rent. Additionally, the H1857 form addresses utility responsibilities, clarifying which utilities are included in the rent and which ones the tenant must manage independently. The information gathered through this form not only assists the department in assessing the household's needs but also helps ensure that tenants receive the support they require. By completing and returning the form promptly, landlords contribute significantly to the process of evaluating housing stability and financial assistance eligibility for their tenants.
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(Client Name and Address)
Date
Caseworker
Office Address and Phone No. with Area Code
Name of Client
Case No.
Address (Street, City, State and ZIP Code)
The person named above reports renting this residence from you. To correctly evaluate the household's situation, the department needs your assistance.
Please complete the information requested on the back of this letter and return it to me in the postage paid envelope provided.
Please return it as soon as possible, but no later than |
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I hereby give my permission to release the information requested on this form.
Signature |
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Form H1857,
Landlord Verification
Form H1857
May
(This form must be completed by the client's landlord or a representative.)
1.Tenant Move Date:
2.How many people live in the house or apartment?
3.List the names of all people who live in the house or apartment. List their employer, if known:
Name of Person |
Working? |
Employer |
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Yes |
No |
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Yes |
No |
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Yes |
No |
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Yes |
No |
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Yes |
No |
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4. Questions about the rent payment:
Amount of RentTenant's Portion of RentPerson making payment?
How often paid?
Weekly
Every Two Weeks
Twice a Month
Monthly
Method of payment?
Cash |
Check |
Money Order |
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Other (explain): |
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Is the tenant current in paying the rent? |
Yes |
No If "No," when was the last month rent was paid? |
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What is the total amount of past due rent? |
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5. Questions about the utilities: |
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Are all utilities included in rent? |
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Yes |
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No |
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Utilities the tenant is responsible for paying (check all that apply): |
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Gas |
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Electric |
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Telephone |
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Utility bills are paid directly to: |
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Landlord |
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Utility Company |
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Please provide the tenant's complete residential address: |
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Street Address |
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Apt. No. |
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City |
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ZIP Code |
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Landlord or Representative Name (printed) |
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Signature – Landlord or Representative |
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Date |
Business Address or Residential Address
Telephone No. with Area Code
Form Specifications
| Fact Name | Description |
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| Purpose of Form | The H1857 form is used for landlords to verify rental information for tenants applying for assistance programs. |
| Completion Requirement | This form must be filled out by the landlord or a representative to ensure accurate evaluation of the tenant's household situation. |
| Governing Law | The H1857 form is governed by state-specific housing assistance laws, which may vary by state. |
| Submission Timeline | Landlords are asked to return the completed form as soon as possible, but no later than the specified date in the request. |
H1857: Usage Guidelines
Follow these steps to complete the H1857 form accurately. After filling out the form, it must be returned promptly in the provided envelope. Timely submission is crucial for the evaluation process.
- Fill out the Client Information: Enter the client’s name and address at the top of the form.
- Provide the Date: Write the current date in the designated space.
- Caseworker Information: Fill in the caseworker's office address and phone number, including the area code.
- Client Details: Repeat the client’s name and case number in the appropriate fields.
- Residence Information: Indicate the address where the client is renting, including street, city, state, and ZIP code.
- Tenant Move Date: Specify the date the tenant moved into the residence.
- Occupancy Details: State how many people live in the house or apartment.
- List Occupants: Provide the names of all individuals residing at the address, along with their employers if known.
- Rent Payment Information: Fill in the amount of rent, the tenant's portion, and the name of the person making the payment.
- Payment Frequency: Indicate how often the rent is paid (weekly, bi-weekly, twice a month, monthly).
- Payment Method: Specify how the rent is paid (cash, check, money order, or other).
- Current Rent Status: Indicate if the tenant is current on rent payments. If not, provide the last month rent was paid and the total amount of past due rent.
- Utilities Information: Check if all utilities are included in the rent. If not, list the utilities the tenant is responsible for paying.
- Utility Payment Details: Specify whether utility bills are paid directly to the landlord or utility company.
- Complete Residential Address: Provide the tenant's full residential address, including street address, apartment number, city, and ZIP code.
- Landlord Information: Print the name of the landlord or representative, and sign the form.
- Date and Contact Information: Include the date of signing, the business or residential address, and a phone number with area code.
Your Questions, Answered
What is the purpose of the H1857 form?
The H1857 form is used to verify rental information for a client who is receiving assistance. It helps the department understand the client's living situation by gathering details about their residence, rent payments, and household members. This information is crucial for evaluating the client's eligibility for various programs.
Who is required to fill out the H1857 form?
The H1857 form must be completed by the landlord or a representative of the landlord. They are responsible for providing accurate information about the tenant's rental agreement, including details about the rent amount, payment frequency, and any utilities that may be included in the rent.
What kind of information does the H1857 form collect?
The form collects several key pieces of information. It asks for the tenant's move-in date, the number of people living in the residence, and their names. Additionally, it inquires about the rent amount, payment methods, and whether the tenant is current on rent payments. Information about utilities is also requested, including who is responsible for paying them.
How should the completed H1857 form be submitted?
Once the landlord or representative has filled out the form, it should be returned in the postage-paid envelope provided. It is important to send it back as soon as possible, ideally by the specified deadline. Timely submission helps ensure that the client's case can be processed without delays.
Common mistakes
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Failing to include complete client information, such as the full name and address, can delay the processing of the form.
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Not providing the correct case number can lead to confusion and misrouting of the form.
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Leaving the tenant move date blank or incorrectly filled out may hinder the assessment of the household situation.
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Neglecting to list all individuals living in the residence can result in an inaccurate evaluation of the household.
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Not indicating the employer information for each tenant, if known, may lead to incomplete data collection.
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Providing unclear or incomplete answers regarding rent payments can complicate the verification process.
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Forgetting to check the appropriate boxes for utilities included in the rent may cause misunderstandings about tenant responsibilities.
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Failing to specify how utilities are paid could lead to confusion about the tenant's financial obligations.
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Not signing the form or omitting the date of the signature can invalidate the submission.
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Neglecting to provide the landlord’s contact information may hinder follow-up communication.
Documents used along the form
The H1857 form is an essential document used in various housing assistance programs, particularly for verifying a tenant's rental situation. Along with this form, several other documents often accompany it to provide a comprehensive view of the tenant's circumstances and to facilitate the application process. Below is a list of these documents, each serving a specific purpose.
- Rental Agreement: This document outlines the terms and conditions of the lease between the landlord and tenant. It specifies the rental amount, duration of the lease, and responsibilities of both parties, helping to confirm the tenant's claim of residence.
- Income Verification Form: This form collects information about the tenant's income sources and amounts. It is crucial for determining eligibility for housing assistance programs, as it helps assess the financial situation of the household.
- Utility Bills: Recent utility bills can serve as proof of residency. They often include the tenant's name and address, providing additional verification that the individual resides at the reported location.
- Identification Documents: These may include a driver's license or state ID. They help confirm the identity of the tenant and ensure that the person applying for assistance is indeed the resident of the property in question.
- Previous Landlord Reference: A reference from a previous landlord can provide insights into the tenant's rental history, including payment habits and any issues that may have arisen during prior tenancies.
- Affidavit of Residency: This sworn statement can be used to affirm that the tenant resides at the address in question. It serves as a legal declaration that can support the information provided in the H1857 form.
Each of these documents plays a vital role in the evaluation process for housing assistance. Together, they help create a clear picture of the tenant's living situation, financial status, and overall eligibility for support. Properly completing and submitting these forms can significantly impact the outcome of the assistance request.
Similar forms
The H1857 form is used for landlord verification in housing assistance cases. It shares similarities with several other documents commonly used in similar contexts. Here’s a list of nine documents that have comparable purposes or structures:
- Rental Agreement: This document outlines the terms of the rental arrangement between the landlord and tenant, including rent amount, payment schedule, and responsibilities for utilities.
- Lease Termination Notice: This form notifies a tenant that their lease will end, often requiring information about the move-out date and reasons for termination.
- Tenant Application Form: This document collects personal information from potential tenants, including employment details and rental history, similar to the H1857's request for tenant information.
- Eviction Notice: This notice informs a tenant of the landlord's intent to evict, often requiring details about unpaid rent or lease violations, akin to the H1857's inquiries about rent payment status.
- Utility Verification Form: This form confirms which utilities are included in rent and which are the tenant's responsibility, paralleling the utility questions in the H1857.
- Income Verification Form: Used to verify a tenant's income for assistance programs, this form gathers financial details, similar to how the H1857 collects information about household members and their employment.
- Housing Assistance Application: This application seeks information to determine eligibility for housing assistance, much like the H1857 aims to evaluate the tenant's situation.
- Landlord Reference Letter: This letter provides a prospective landlord with information about a tenant's rental history and payment reliability, similar to the verification purpose of the H1857.
- Background Check Consent Form: This document allows landlords to conduct background checks on potential tenants, collecting personal information that mirrors the data requested in the H1857.
Each of these documents plays a vital role in the rental process, ensuring that both landlords and tenants have the necessary information to make informed decisions.
Dos and Don'ts
When filling out the H1857 form, it’s essential to follow certain guidelines to ensure accuracy and completeness. Here’s a list of things you should and shouldn’t do:
- Do read the instructions carefully before you start filling out the form.
- Do provide all requested information, including names and addresses.
- Do ensure that the tenant’s information is accurate and up to date.
- Do sign and date the form where indicated.
- Do return the form in the provided postage-paid envelope.
- Don’t leave any sections blank; if a question doesn’t apply, write “N/A.”
- Don’t use abbreviations or shorthand that may confuse the reader.
- Don’t forget to check for any spelling errors before submitting.
- Don’t submit the form after the deadline specified in the instructions.
Following these guidelines will help ensure that the H1857 form is completed correctly and submitted on time. This can aid in a smoother evaluation process for the household's situation.
Misconceptions
Misconceptions about the H1857 form can lead to confusion for both landlords and tenants. Understanding the facts can help clarify its purpose and requirements. Here are five common misconceptions:
- The H1857 form is only for landlords. While the form is completed by the landlord or their representative, it serves to verify the tenant's living situation for the benefit of the tenant's case. The information is crucial for the department to assess the household's circumstances.
- Completing the H1857 form is optional. The form is a necessary part of the evaluation process. Landlords are expected to provide accurate information to assist in determining the tenant's eligibility for various programs or benefits.
- The form only collects basic information. In reality, the H1857 form gathers detailed information about rent payments, household composition, and utility responsibilities. This comprehensive data helps the department make informed decisions regarding the tenant's case.
- Submitting the form is a lengthy process. The H1857 form is designed for efficiency. Landlords can complete it quickly, and it is meant to be returned promptly using the provided postage-paid envelope. Timeliness is encouraged to avoid delays in the tenant's case.
- The information on the form is not confidential. The details provided on the H1857 form are treated with confidentiality. They are used solely for the purpose of evaluating the tenant's situation and are protected under privacy laws.
Key takeaways
When filling out and using the H1857 form, it is essential to understand the requirements and process involved. Here are some key takeaways to guide you:
- Purpose of the Form: The H1857 form is used for landlord verification to assist in evaluating a household's situation.
- Who Completes the Form: This form must be completed by the client's landlord or a designated representative.
- Timeliness is Crucial: It is important to return the completed form as soon as possible, ideally in the postage-paid envelope provided.
- Accurate Information: Ensure that all requested information is filled out accurately, including tenant details and rental payment history.
- Tenant Information: The form asks for the tenant's move-in date and the names of all individuals residing in the rental unit.
- Payment Details: Landlords must specify the amount of rent, the tenant's portion, and the payment method used.
- Utility Responsibilities: Clarify whether utilities are included in the rent or if the tenant is responsible for paying them separately.
- Signature Requirement: The landlord or representative must sign and date the form to validate the information provided.
- Contact Information: Provide accurate contact details, including the landlord's business or residential address and phone number.
- Confidentiality: The tenant's permission to release information is crucial for compliance with privacy regulations.
By keeping these points in mind, you can ensure that the H1857 form is filled out correctly and submitted on time, facilitating the assistance needed for the household's evaluation.