Sco 221 2026

The document is a housing verification form from the Suffolk County Department of Social Services, designed to confirm a household's residence and composition. It requires completion by landlords or authorized representatives, detailing tenant information, rent payment status, and housing conditions. Additionally, it includes a section for verification by a non-relative professional if applicable. The form emphasizes landlord responsibilities regarding heating system repairs and clarifies that the Department does not endorse compliance with building codes.

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Click ‘Get Form’ to open the sco 221 in the editor.
Begin by entering the case name, date, and case number at the top of the form. Ensure all information is accurate for proper processing.
In Section I, have your landlord complete the verification of rent. They should provide their name, address of the rental property, and list all residents who pay rent.
Select the type of housing from the provided options and indicate if the landlord lives at the same address. Answer questions regarding shared entrances and utilities included in rent.
Complete questions about rent payment status and any outside contributions towards rent. If applicable, provide details on any subsidies received.
If you are related to anyone in this household, ensure Section II is filled out by a non-relative professional who knows your family.
Finally, have all required signatures completed by the landlord or authorized agent before submitting.

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