REQUEST TO CHANGE HOUSEHOLD COMPOSITION 2025

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A household is composed of one or more people who occupy a housing unit. Not all households contain families. Under the U.S. Census Bureau definition, family households consist of two or more individuals who are related by birth, marriage, or adoption, although they also may include other unrelated people.
The household composition certificate is an administrative document which attests to the household composition of a person. The certificate indicates all the persons domiciled at the same address and who are part of a household, as well as any family relationship with the reference person of the household.
The purpose of a household composition form is to collect information about the individuals living in a household.
For example, if a male college student is living in a temporary residence, such as a fraternity, those who share his permanent residence, such as his parents address, would be considered his household members.
Events that can results in a change in household composition may include but are not limited to clients that become pregnant, a single adult merges households with another adult with a child, or children are permanently removed from the household.
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This form is used to report changes in your household composition, income, or assets since your rental subsidy application. Required for adding or removing household members and reporting income adjustments. Ensure all necessary documentation is submitted with the form.

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