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Recertification Declaration Form - Bristol Housing Authority 2026

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  1. Click ‘Get Form’ to open the Recertification Declaration Form in the editor.
  2. Begin by filling out your personal information, including your home and work phone numbers, and your caseworker's details. Ensure accuracy as this information is crucial for communication.
  3. In Section A, list all individuals living in your household. Include their last names, first names, relationship to you, birth dates, sex, disability status, social security numbers, and student status. If there have been changes in family composition, provide supporting documents.
  4. Proceed to Section B to document all sources of income for each family member. This includes both non-wage and wage income. Be sure to indicate how often each income is received.
  5. In Section C, list all family assets such as bank accounts and real estate. Provide current amounts and any interest earned over the past year.
  6. Complete Section D if applicable by detailing any unreimbursed medical or childcare expenses that qualify for deductions.
  7. Use Section E as a checklist to confirm that all required questions are answered correctly before submission.
  8. Finally, sign the declaration in Section F certifying that all information provided is accurate and complete.

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