Get Household Composition Form

Filling out the Household Composition Form online is a straightforward process that helps gather essential information regarding your household's structure and income. This guide will walk you through each step, ensuring you complete the form accurately and efficiently.

Follow the steps to easily complete the form online.

1. Click ‘Get Form’ button to access the Household Composition Form and open it in your preferred editor.
2. Begin by entering the date at the top of the form and the names of all household members planned to reside with the head of household.
3. Complete the staff information section by entering the staff name, title, and checking the appropriate box regarding the evaluation type: initial evaluation, re-certification, or other.
4. In the 'Household Composition' section, list each household member’s first name, last name, age, relationship to the head of household, and whether they are currently residing in the household.
5. Move to the 'Income' section and provide detailed income information for each household member. Record the source of income, gross documented income per pay period, frequency of payment, number of payments per year, and calculate the annual gross income.
6. Determine the program eligibility by filling in the total number of adults and minors in the household, the annual gross household income, and check off whether the household is below 30% and 50% AMI.
7. Respond to the program eligibility questions by indicating whether the household meets income requirements and if all income documents have been verified.
8. Proceed to the signatures section where the staff member and participant must certify the information provided is accurate, signing and dating where required.
9. Complete the signatures for all household members, each person must sign and date the section verifying their income as stated in the form.
10. Finally, review the completed form for accuracy. Once reviewed, save your changes, and choose to download, print, or share the completed document as needed.

Take the next step towards your housing needs by completing your Household Composition Form online today.