• Section 3 Resident Self-Certification Form

    The purpose of this form is to comply with Section 3 of the HUD Act of 1968 certification requirements.
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  • Section 3 is a HUD regulation which states that any entity that receives section 3 covered funding must be section 3 compliant. Section 3 compliance is achieved by providing education, training, and/or employment opportunities to Section 3 person(s).

    A Section 3 person is an income-eligible* (low or very low-income) individual who resides in the service area of the housing authority, is a public housing resident, housing choice voucher resident, or youth build participant.

    Section 3 Income Limit
    $39,000

    *If a person earns at or below $39,000, they are qualified as Section 3.

  • Check all that apply:

    In order to determine section 3 status please select all applicable boxes listed below:

  • Were sorry, but based on the information you have provided,

    You do not qualify under Section 3.

    Return to Section 3 Page

  • I hereby certify to the U.S. Department of Housing and Urban Development (HUD) that all the information on this form is true and correct. I further certify that I am a legal resident of the United States.

    Finally, if applicable, I authorize the Rockford Housing Authority to include my name on a list of Section 3 Residents seeking employment and to include my contact information so that contractors may contact me.

  • Should be Empty: