What does the Housing Assistance Sign-Off Agreement do?

It records a tenant’s decision to stop receiving assistance and authorizes the Garden Grove Housing Authority to terminate that assistance.

Garden Grove, CA · Orange County

No notary required

Housing Assistance Sign-Off Agreement

Garden Grove Housing Authority tenants use this agreement to request termination of their housing assistance and record their final assistance date.

What this form is

This agreement lets a tenant tell the Garden Grove Housing Authority they no longer want housing assistance and authorize the Authority to end it. The tenant records the final day they need assistance and the date through which they may rescind the decision. The agreement also states that someone seeking assistance later must reapply when the Housing Authority is accepting applications.

Who needs it

A Garden Grove Housing Authority tenant who wants to end housing assistance uses this agreement to record and sign that decision.

How to submit it

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

About notarization

This agreement has no notary block; the tenant signs and dates it, and a Housing Specialist witnesses and signs.

How to submit this form

1
Download the Agreement
Download the Housing Assistance Sign-Off Agreement.
2
Complete the Agreement
Enter your final day of assistance and the date through which you may rescind your decision.
3
Sign and Date
Sign and date the agreement; the form includes a Housing Specialist witness signature and date.
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

What does the Housing Assistance Sign-Off Agreement do?: It records a tenant’s decision to stop receiving assistance and authorizes the Garden Grove Housing Authority to terminate that assistance.
Do I need a notary for the Housing Assistance Sign-Off Agreement?: No. The agreement has no notary block; the tenant signs and dates it, and a Housing Specialist witnesses and signs.
How do I submit the Housing Assistance Sign-Off Agreement?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Housing Assistance Sign-Off Agreement doesn’t need a notary — but if you have another Garden Grove form that does, a commissioned online notary can help.