State Housing Trust Fund for the Homeless Special Voucher Assistance Fund Program

State Housing Trust Fund for the Homeless Special Voucher Assistance Fund
2026 Funding Application
Section 1: HOUSING AUTHORITY INFORMATION
Georgia Voucher Administering Housing Authority Name*
Address*

Physical Address:

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact Person*

First NameLast Name
Title*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com

SECTION 2: SPECIAL VOUCHER ASSISTANCE FUND INFORMATION
Please indicate all special program vouchers administered and the number of each:

Please include the numeric value for each type of voucher and upload documentation for each type.
Stability Vouchers
Number of Vouchers
File Upload

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Mainstream Vouchers
Number of Vouchers
File Upload

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VASH Vouchers
Number of Vouchers
File Upload Veteran Affairs Supportive Housing (VASH)

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Foster Youth to Independence (FYI) Vouchers
Number of Vouchers
File Upload Fost Youth to Independence (FYI Vouchers)

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Family Unification Program (FUP) Vouchers
Number of Vouchers
File Upload Family Unification Program (FUP) Vouchers

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Other HUD Special Purpose Vouchers
Number of Vouchers
File Upload Other HUD Special Purpose Vouchers

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Total number of special program vouchers for which service fee assistance is requested:*
Indicate TOTAL number of vouchers
If any vouchers are currently leased, provide justification for funding request (e.g., notice to vacate, participant exits, etc.):
Stability Voucher, Include # Unleased
Number of Vouchers
Stability Voucher, Include # Leased (provide justification for funding request (e.g., notice to vacate, participant exits):
Number of Vouchers and Justification
Mainstream Voucher, Include # Unleased
Number of Vouchers
Mainstream Voucher, Include # Leased (provide justification for funding request (e.g., notice to vacate, participant exits):
Number of Vouchers and Justification
Veteran's Affairs Supportive Housing Voucher, Include # Unleased
Number of Vouchers
Veteran's Affairs Supportive Housing Voucher, Include #Leased (provide justification for funding request (e.g., notice to vacate, participant exits):
Number of Vouchers and Justification
Foster Youth to Independence (FYI) Vouchers, Include #Unleased
Number of Vouchers
Foster Youth to Independence (FYI) Vouchers, Include # Leased (provide justification for funding request (e.g., notice to vacate, participant exits):
Number of Vouchers and Justification
Family Unification Program (FUP) Vouchers, Include # Unleased
Number of Vouchers
Family Unification Program (FUP) Vouchers, Include # Leased (provide justification for funding request (e.g., notice to vacate, participant exits):
Number of Vouchers and Justification
Other HUD Special Purpose Vouchers (specify) Include # Unleased
Number of Vouchers
Other HUD Special Purpose Vouchers (specify) Include # Leased (provide justification for funding request (e.g., notice to vacate, participant exits):
Number of Vouchers and Justification
Documentation attached (check all that apply):

HUD award letter for Special Program VouchersVoucher Management System utilization dataor formal commitment letter requesting voucher and administrative funding
Proof of HUD Award for Special Program Vouchers *

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Formal commitment letter to apply for vouchers

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Voucher Management System Data-Utilization

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SECTION 3: SPECIAL VOUCHER ASSITANCE FUND- FUNDING REQUEST
Total amount of Special Voucher Assistance funding requested ($):*
(Maximum $500,000 annually; up to $750,000 for agencies with qualifying FSS programs)
Estimated number of households to be assisted:*
Funding Justification: Describe how the requested amount was determined and how it will support lease-up or housing stability for special program voucher holders. *

SECTION 4: ELIGIBLE EXPENSES
Indicate which eligible expenses the funding will support (check all that apply):*

Security DepositsFirst Month's Rent Application or Leasing Fees on the applicationPet fee depositUtility fee depositOther on petitions (requires approval of SHTF prior to issuing funding for expense)Administrative costs and/or staff time to administer the service fees (up to 10% of total award amount) include: salary expenses, other related contracts (third- party contracts for administering service fees), IT costs, and office expenses
Please indicate what administrative costs the funding will support:
If the funding will be used to support office expenses, please specify which expenses those are:
SECTION 5: INTERNAL CONTROLS & SERVICE FEE PROCESS
A. Payment Processing: Describe the internal process to ensure landlord payments are processed within 21 days of request *
B. Audit & Documentation: Describe the internal audit process for special program voucher allocations, including documentation of fee usage. Please provide a copy of your internal audit process for special program voucher allocation. *
C. Lease & Recoupment Policies: Confirm that leases allow for recoupment of deposit service fees and describe the process for recoupment from participating landlords. Please provide a copy of those policies. The policy should explain how funding will be provided for voucher holders when they move and how landlords should return deposits to the Housing Authority before an RFTA is submitted.*
D. Procurement (if applicable): If third-party vendors or contractors are used, provide a summary of procurement procedures and contract details.

SECTION 6: Georgia Housing Voucher Program (GHVP) REFERRAL POLICY
Does your Housing Authority maintain a policy to accept referrals and issue vouchers from GHVP? The policy should explain how funding will be provided for voucher holders when they move and how landlords should return deposits to the Housing Authority before an RFTA is submitted. Policy to accept referrals and issue vouchers from the Department of Behavioral Health and Developmental Disabilities’ (DBHDD)Georgia Housing Voucher Program (GHVP). However, DBHDD GHVPs are not eligible for special purpose vouchers under this funding announcement.*

Yes If yes, briefly describe the policy and attach supporting documentation.No
Description of GHVP Policies
GHVP Policy

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SECTION 7: FAMILY SELF-SUFFICIENCY (FSS) PROGRAM (OPTIONAL)
Does your Housing Authority operate an active FSS program serving special program voucher holders?*

YesNo
If yes, check all that apply:

Financial counseling servicesActive escrow savings accountsVoucher-to-homeownership pipeline
Provide a brief description of the program and provide program policies and procedures:

SECTION 8: REQUIRED DOCUMENTATION UPLOAD AND CHECKLIST

Upload required documentation: W-9, Supplier Change Management Form, Language Access Plan Acknowledgement
Checklist*

W-9Supplier Change Request FormLanguage Access Plan Acknowledgement
Checklist (not required, if applicable)

Third Party AgreementAdministrative Cost ResumeAdministrative Cost Job DescriptionAdministrative Cost Third-Party ContractsOther
W-9 *

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Supplier Change Request Form *

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Language Access Plan Acknowledgement*

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Third Party Agreement (if applicable)

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Administrative Cost Resume (if applicable)

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Administrative Cost Job Description (if applicable)

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Administrative Cost Third- Party Contracts (if applicable)

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SECTION 9: CERTIFICATIONS & ASSURANCES
By signing below, the Housing Authority certifies that if it is awarded funding:
- It will execute an official agreement with the State Housing Trust Fund Commission for the Homeless pending submission and approval of all required documents
- It will use funds only for eligible expenses as outlined in the NOFA
- No funds will be used for ineligible expenses (as outlined in the NOFA), including rental arrears, utility arrears,legal fees associated with eviction procedures, turnkey service, other housing support services,
- Quarterly reporting will be submitted using the required Excel template
- It will use the required Special Voucher Assistance Fund Expense Request Form for all participants
- All information provided is true and accurate to the best of your organization’s knowledge
Authorized Official Name*

First NameLast Name
Title*
Signature*
Date*

MonthDayYear
SECTION 10: SUBMISSION INFORMATION

Completed applications must be submitted electronically until funding is no longer available. For additional questions please contact shtf@dca.ga.gov
Should be Empty:

State Housing Trust Fund for the Homeless Special Voucher Assistance Fund

2026 Funding Application

Section 1: HOUSING AUTHORITY INFORMATION

SECTION 2: SPECIAL VOUCHER ASSISTANCE FUND INFORMATION

Please indicate all special program vouchers administered and the number of each:

SECTION 3: SPECIAL VOUCHER ASSITANCE FUND- FUNDING REQUEST

SECTION 4: ELIGIBLE EXPENSES

SECTION 5: INTERNAL CONTROLS & SERVICE FEE PROCESS

SECTION 6: Georgia Housing Voucher Program (GHVP) REFERRAL POLICY

SECTION 7: FAMILY SELF-SUFFICIENCY (FSS) PROGRAM (OPTIONAL)

SECTION 8: REQUIRED DOCUMENTATION UPLOAD AND CHECKLIST

SECTION 9: CERTIFICATIONS & ASSURANCES

SECTION 10: SUBMISSION INFORMATION