2013 CMHA HCVP Admin Plan - Cuyahoga Metropolitan Housing ...

J. CERTIFICATION OF DOMESTIC VIOLENCE, DATING VIOLENCE OR
STALKING (SECTION 606 AND 607 OF VAWA)
The owner, manager, or PHA may request that an individual certify in writing via a HUD
approved certification form that the individual is a victim of domestic violence, dating violence,
or stalking. The certification form will be completed, signed and dated by the victim to certify
he/she is the victim of domestic violence, dating violence, or stalking, and that the incident or
incidences are bona fide incidences of such actual or threatened abuse. The victim shall include
the name of the perpetrator. The individual shall provide such certification within 14 business
days after the owner, manager, or public housing agency requests such certification.
Other acceptable documentation in lieu of or in addition to the certification form:
1) Federal, State, tribal, territorial, or local police or court record.
2) Documentation signed and attested to by an employee, agent or volunteer of victim
service providers, an attorney or a medical professional from whom the victim has sought
assistance in addressing the domestic violence or abuse. The professional must attest
under penalty of perjury (28U.S.C. 1746) that to their belief that the incident or incidents
in question are bona fide incidents of abuse.
K. CLAIMS OF IDENTITY THEFT:
Families disputing information due to identity theft must provide documentation of their attempt
to correct the misinformation. Documentation includes: Police report, FCC claim letter, Letter to
erroneous reporting agency. Information must be provided within 30 days, of the re-examination
or application, or the information being disputed may be used by the PHA.
Copyright 2000 by Nan McKay & Associates
To be printed only with permission of Nan McKay & Associates
Unlimited copies may be made for internal use
Approved by CMHA Board of Commissioners
October 3, 2012
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