TMHA Form 344 a
Revised January 2004
Quality Control Checklist for Public Housing and New Construction Residents
Highlighted items apply to New Construction only! Items followed by ** must be signed by all adults!
Move-In:
Is the 50058 signed and dated by manager? Y _______N_______
Is the 50059 signed and dated by resident and
TMHA Manager? (All adults **) Y _______N_______
Was the Security Deposit collected and is amount correct?
(Public Housing greater of $ 50.00 or 1 month rent,
New Construction is equal to TTP) Y _______N _______
Was the Pet Deposit collected?
$ 300.00 for Public Housing Y _______N _______
New Construction is $ 50.00 down and $ 10.00 per month
($ 300.00 Total) (Can be paid in full) Y _______N _______
Was the policy signed and dated by resident(s) ** and
TMHA Manager Y _______N _______
Inspections:
Is the move-in inspection sheet signed by Resident and
TMHA Manager? (If move-in took place in review period) Y _______N _______
Is it noted that the resident inspected and accepted the
TMHA unit on the basis that repairs would take place in
30 days? (New Construction Only) Y _______N _______
Recertifications:
Race and Ethnicity Form Completed ** Y _______N _______
Are all citizenship forms signed and completed for all members?
(Applies only if they were not signed at application). Y _______N _______
Letter notifying the resident of the recert appointment? Y _______N _______
Is the Personal Declaration ** signed? Y _______N _______
Is the rent calculated on the worksheet? Y _______N_______
If no, where was the error made? ____________________________________________
Do the income verifications match those on worksheet? Y _______N _______
Are all income verifications via third party? Y _______N _______
Anyone receive the $ 400 allowance for being disabled? Y _______N _______
Are they on SSI? Y _______N _______
If no, is the disability verified via third party? Y _______N _______
Does any adult member of household receive the
$ 480.00 allowance for being disabled? Y _______N _______
Are they on SSI? Y _______N _______
If no, is the disability verified via third party? Y _______N _______
Is the Applicant/Resident Certification** signed and
dated by Resident and TMHA Staff? Y _______N _______
Is the Federal Privacy Act signed/dated by resident? Y _______N _______
Is there a current Drug Policy ** signed and dated by all
adults residents and a TMHA Representative? Y _______N _______
Is the 9886 (Release of Information) ** signed and dated? Y _______N _______
Is the 9887 (Release of Information)**signed and dated? Y _______N _______
Are there birth certificates for new family members? Y _______N _______
Are there Social Security cards for new family members? Y _______N _______
Does file contain photo ID for all adult members? Y _______N _______
Is Form 249**, Questionnaire completed, signed and dated? Y _______N _______
Is the 50058 (PH Only) signed and dated by Manager? Y _______N _______
Is the 50059 (N/C Only) signed and dated by
Manager and Resident? Y _______N _______
Income Disallowances: (Public Housing Only)
Is the resident eligible? Y _______N _______
Is there a tracking sheet in the file? Y _______N _______
Was the resident given 100% disallowance for first year? Y _______N _______
Was resident taken to 50% after first year? Y _______N _______
Was resident taken to full rent after second year? Y _______N _______
Notices of Rent Changes:
Was the Notice of Rent Adjustment dated at least 30 days
in advance, if the rent was increased? (P/H) Y _______N _______
Did the Resident** and Manager sign and date? (P/H) Y _______N _______
Was the Lease Amendment from Tenmast dated at least
30 days in advance, if the rent was increased? (N/C) Y _______N _______
Did the Resident** and Manager sign and date? Y _______N _______
Name of Family: ______________________________ Address: _________________________
Reviewer: ____________________________________ Date: ___________________________