Section 8 Rental Verification Request Form
Applicant Information
Applicant Name
Applicant Address
City
State
ZIP Code
Phone Number
Email Address
Landlord/Property Owner Information
Landlord/Owner Name
Address
Phone Number
Email Address
Rental Information
Tenancy Start Date
Tenancy End Date
Monthly Rent Amount
Utilities Included
Number of Occupants
Rental History Verification
Has rent been paid on time?
Lease Violations (if any)
Other Comments
Landlord/Owner Signature
Date