MOVE and COUNTY TRANSFER REQUEST

WITH COUNTY TRANSFER REQUEST
Date

MonthDayYear
Date
Head of Household Full Name
, do hereby give 20-days' notice.
that I will be moving from
I will move out by
Additionally, I am requesting to move to another are within SHA's jurisdiction. Specifically, I want to move to _____________________County.
Select the County you wish to transfer to:*
Signed

Clear
Phone Number
*** Please keep in mind, you are to give a proper written move notice to your landlord before providing a copy to SHA. If SHA receives information from your landlord that proper notice has not been given to them, your move process will be stopped.*
Should be Empty:

WITH COUNTY TRANSFER REQUEST