Inglewood, CA · Los Angeles County

No notary required

Change In Household Income

This form is for Section 8 households reporting an income change and provides details the family and Housing Specialist use to document the change.

What this form is

The form documents a household income change, including income that stopped, decreased, was added, or increased. The family must complete a Change of Income form for each action and provide supporting income documents; the form asks for household and income details, the effective date, and the head of household’s signature and date.

Who needs it

A Section 8 household must complete this form for each action to remove, decrease, add, or increase household income.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form identifies the Housing Section 8 Program.

About notarization

This document is signed without a notary; the signer just signs and dates it, and the listed income-supporting documents are not identified as notarized or sworn.

How to submit this form

  1. 1

    Download The Form

    Download the Change In Household Income form.

  2. 2

    Complete The Form

    Provide the household, income, and effective-date details, select one type of income change, and sign and date the form.

  3. 3

    Gather Income Documents

    Attach the income documentation requested for the change, such as proof income stopped or pay stubs.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Change In Household Income form?
No. The form is signed and dated without a notary. It asks for income-supporting documents, but does not identify them as notarized or sworn.
How do I submit the Change In Household Income form?
Submit it to the city department named on the form; check the city website for current contact details. The form identifies the Housing Section 8 Program.
What documents does the form ask me to provide?
It asks for authentic documentation to prove income stopped, four consecutive pay stubs if income decreased or increased, and pay stubs for new income when available.
What information does the form collect?
It asks for household and income details, the effective date and type of change, and the head of household’s printed name, signature, and date.

Need something notarized?

This Change In Household Income doesn’t need a notary — but if you have another Inglewood form that does, a commissioned online notary can help.