The PHA, if presented with a claim for continued or initial tenancy or assistance based on status as a victim of domestic violence, dating violence or stalking, has the option to request that the victim document or provide written evidence to demonstrate that the violence occurred.
The PHA may require the use of HUD form 50066. If this form is used by the victim, they must complete and submit it within fifteen (15) calendar days of receiving it. If the victim does not complete and return this form (or provide third-party verification) by the fifteenth calendar day or by an extension of the date provided by the PHA, the victim cannot be assured s/he will receive VAWA protections.
Victim Documentation
An applicant or participant claiming that the cause of an unfavorable history is that a member of the applicant family is or has been a victim of domestic violence, sexual violence, dating violence, or stalking must provide documentation demonstrating the connection between the abuse and the unfavorable history and naming the perpetrator of the abuse. The documentation may consist of any of the following:
Perpetrator Documentation
If the perpetrator of the abuse is a member of the applicant family, the applicant must provide additional documentation consisting of one of the following:
Confidentiality Requirements
All information provided to the PHA regarding domestic violence, sexual violence, dating violence, or stalking, including the fact that an individual is a victim of such violence or stalking, must be retained in confidence and maintain confidentiality of information received and shared, and keep all information provided confidential.
The PHA will not enter information into any shared database nor provide information to any related entity, except to the extent that it is requested or consented to by the individual in writing, is required for use in an eviction proceeding, or is otherwise required by applicable law.