Portability Request

Portability Request
Date

MonthDayYear
Date
Current Case Worker*
Name*

First NameLast Name
Tenant Number if known
Phone Number

Area CodePhone Number
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Which Housing Authority are you going to (Receiving Housing Authority Name)*
Address for Receiving Housing Authority*

Street Address

Street Address Line 2

CityState

Zip Code
Receiving Housing Authority Contact Name if known

First NameLast Name
Receiving Housing Authority Contact Email
example@example.com
Receiving Housing Authority Phone Number

Area CodePhone Number
Receiving Housing Authority Fax Number

Area CodePhone Number
Expected Move Out Date from current unit

MonthDayYear
Date
Approval from Plano Housing Authority is required*

I understand that I must get approval from Plano Housing Authority before relocating. I also understand that I must give my current landlord a minimum of 30 day written notice (or other amount if specified in my current lease) which must be turned in with this form before moving. I understand that failure to do so may result in immediate termination from the HCV program.
Browse Files

Cancelof
Signature*

Clear
Date

MonthDayYear
Date

NOTICE TO VACATE
NTV Date

MonthDayYear
Date
NTV Tenant Name

First NameLast Name
NTV Phone Number

Area CodePhone Number
NTV Email
example@example.com
NTV Address

Street Address

Street Address Line 2

CityState

Zip Code
NTV Vacate Date

MonthDayYear
Date
NTV On the date above I will be returning all keys and would like to schedule a move out inspection of the unit with the Landlord. Plano Housing Authority does NOT conduct move out inspections. Landlords/Owners will not receive payment from Plano Housing Authority after the move out date. Notice to Vacate should coincide with the lease ending date and HAP Contract unless relocation has been approved by Plano Housing Authority for emergency reasons.*

I agree to vacate on the date I provided. If I stay in the unit I will be responsible for the ongoing rent.
Signature*

Clear
Date

MonthDayYear
Date
Should be Empty: