Follow the steps to accurately fill out your form

1. Press the ‘Get Form’ button to access the document and open it for editing.
2. Begin by filling in the date, case number, and case name at the top of the form, ensuring that all details are accurate and relevant.
3. Complete the section for the landlord's name, address, city, state, and zip code for identification.
4. Specify the applicant's address, including apartment number, city, state, and zip code, to clarify the premises in question.
5. In the security voucher section, acknowledge the purpose of the voucher by reviewing the terms and conditions listed.
6. Indicate the amount of the tenant's monthly rent in the specified field.
7. The landlord or authorized agent must print their name, date, and provide their signature to confirm acceptance of the voucher.
8. Proceed to the back of the form to complete the landlord's claim for security voucher payment. Fill in the participant's name and the address they occupied.
9. Provide details on the reason for the claim, including any defaults in payment or damages, and attach relevant supporting documentation.
10. Once all fields are completed, ensure the form is signed and notarized before submission.
11. Finally, save your changes, download, print, or share the completed form as needed.

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