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Attachment #1 I.M.310 Please check one: SHELTER VERIFICATION FORM To Be Completed by Landlord Only Grey Area for Agency Use Only Violations on Property ? Yes No If yes, check one: Stop Rent Unfit.

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How to fill out the Shelter Verification Form online

Filling out the Shelter Verification Form online is an essential step for landlords to verify tenant housing information. This guide provides a clear, step-by-step approach to help you complete the form accurately and efficiently.

Follow the steps to accurately fill out the Shelter Verification Form.

  1. Click ‘Get Form’ button to access the Shelter Verification Form and open it in your preferred document editor.
  2. In the first section, provide the tenant’s name and address, including the street, apartment number, city, county, and ZIP code. Select the appropriate dwelling type and indicate the number of bedrooms.
  3. Next, move to the section marked 'Persons residing at above address/household composition'. Fill in the date when the tenant moved in or will move in, along with the names of individuals responsible for paying rent and anyone else contributing to rent. List all individuals living at the address along with their relationship to the tenant and their move-in dates.
  4. Proceed to the shelter expenses section. Enter the total monthly rent, indicate whether the rent is subsidized, and provide the fuel vendor name along with the subsidy amount and tenant's share. Also, specify if the rent is currently up-to-date and note any past due amounts.
  5. In the landlord/owner section, print the landlord's name, contact number, address, and any vendor ID. If the property owner differs from the landlord, also include that person's information.
  6. Finally, ensure to review all sections for accuracy. Once completed, save the changes. You may choose to download, print, or share the completed form as necessary.

Start filling out your Shelter Verification Form online today for a smoother verification process.

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The LDSS-3668 “Shelter Verification” form is designed to be completed by the landlord or property owner to verify residency and shelter expenses. The use of the LDSS-3668 is not mandatory, but is strongly recommended. This latest revision of the LDSS-3668 is dated 11/15 and is available for use by local districts.

This form is used to report changes within a residential home. You must answer all applicable questions on the form, including to sign and date the form and attach all required verifications.

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