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The Champaign Housing Authority

Change of Family Composition – Add Adult

In an effort to ensure you and your household are served in a timely manner, we request that you completely fill out and sign every document in the enclosed packet. Warning: Failure to report a change of family composition could result in termination of your housing assistance.

To add a member to your household, you must enclose copies of the following for all persons being added:

  1. Social Security Card
  2. State issued Birth Certificate
  3. Valid Picture ID
  4. Marriage Certificate (if applicable)
  5. Employment verification on company letterhead or 4 paycheck stubs
  6. TANF, Social Security/SSI and Child Support print outs
  7. Proof of any other income for new member
  8. Verification of full-time student status (if applicable) 

The following forms should be completed by Head of Household:

  1. Add a New Household Member Form (must be completed by Head of Household and signed by Head of Household and member being added).
  2. Statement form (stating change you are requesting).
  3. Authorization for Release of Information – Privacy Act Notice  (must be signed by Head of Household and member being added)

The following forms should be completed by persons 18 and over being added to the household:

  1. Citizenship (Declaration of Section 214 Status form)
  2. Debts Owed to Public Housing Agencies and Terminations form
  3. What you should know about EIV form

The following forms should be completed by your current Landlord:

  1. Owner Acknowledgement

 

FAILURE TO SUBMIT THE REQUIRED DOCUMENTATION MAY DELAY YOUR REQUEST TO ADD A MEMBER TO YOUR HOUSEHOLD.