Interim Recertification Packet
This packet, to be filled out by the Head of the Household, is required to report any changes in income, assets, or household composition, and should be submitted within 14 days of occurrence.
Before starting this packet, please submit the Family Notice of Change(s) form and then check your email for a copy of the completed form for your records. To verify that you’ve completed the Family Notice of Change(s), you will be required upload that copy into this form.
Please be prepared to enter the email addresses of all adult household members when prompted below. Each household member will receive an email with a link to digitally sign the forms within this packet, as required. Once all signature requirements are fulfilled, you will receive an email with a copy of the completed form for your records.
Please allow up to 30 days of processing.
If you do not want to complete this form online, you can call our main office to have it mailed to you. You can also pick it up in the office.
Berkeley Housing Authority
1947 Center Street Fifth Floor, Berkeley, CA 94704
Telephone: (510) 981-5470 Fax: (510) 981-5480
Interim Recertification Packet
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Berkeley Housing Authority
1947 Center Street Fifth Floor, Berkeley, CA 94704
Telephone: (510) 981-5470 Fax: (510) 981-5480