What does this income release form authorize?

It authorizes HUD and the named housing agency to request income information from listed sources to verify household income, assisted housing eligibility, and benefit levels.

Who must sign the consent form?

The form says each household member age 18 or older must sign. Additional signatures are required from new adult household members and members who turn 18.

How do I submit the income release form?

Submit it to the city department named on the form; check the city website for current contact details. The form has a space for the requesting housing agency's contact information.

Pasadena, TX · Harris County

No notary required

Authorization for the Release of Information/Privacy Act Notice

This HUD consent form authorizes a housing agency to verify household income for people applying for or receiving assisted housing benefits.

What this form is

This form authorizes HUD and the named housing agency to request income information to verify eligibility and benefit levels for assisted housing programs. Applicants and participants in Public Housing, Housing Choice Voucher, and Section 8 Moderate Rehabilitation must sign it. Each household member age 18 or older must sign, including adults who join the household or turn 18.

Who needs it

Applicants and participants in the listed assisted housing programs, along with each household member age 18 or older, must sign the consent form.

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 document is signed without a notary; each household member age 18 or older signs and dates it.

How to submit this form

1
Download the Form
Download the Authorization for the Release of Information/Privacy Act Notice.
2
Complete the Form
Review the consent and provide the requested household information and signatures.
3
Gather Attachments
The form does not list attachments; check with the requesting housing agency if you have questions about supporting documents.
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 this income release form authorize?: It authorizes HUD and the named housing agency to request income information from listed sources to verify household income, assisted housing eligibility, and benefit levels.
Who must sign the consent form?: The form says each household member age 18 or older must sign. Additional signatures are required from new adult household members and members who turn 18.
Do I need a notary for the income release form?: No. This document is signed without a notary; each household member age 18 or older signs and dates it.
How do I submit the income release form?: Submit it to the city department named on the form; check the city website for current contact details. The form has a space for the requesting housing agency's contact information.

Need something notarized?

This Authorization for the Release of Information/Privacy Act Notice doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.