Self Certification Form

Self Certification

The Self-Certification Form is an important document used by residents to verify specific information about their household, such as income, employment status, or household composition, without the immediate need for third-party documentation.

By completing this form, residents are affirming that all the information provided is true, accurate, and complete to the best of their knowledge.

Why the Self-Certification Form Is Used

This process allows the Dover Housing Authority to make timely updates or adjustments to a resident’s file, particularly when waiting on formal documentation might delay necessary action.

Interim Changes

Report changes to your household, income, or employment while waiting for supporting documentation.

Annual Recertifications

Provide updated household information during the annual recertification process to maintain program eligibility.

Housing-Related Requests

Support specific housing requests by certifying information when immediate documentation is unavailable.

Accurate Resident Records

Help Dover Housing Authority keep your resident file current and ensure timely processing of updates.

Important Note

It is essential that residents understand the seriousness of submitting false or misleading information on a Self-Certification Form.

By signing and submitting the form, residents are certifying that all information provided is true, accurate, and complete to the best of their knowledge.

Any discrepancies found during verification or future documentation reviews may result in a lease violation and could jeopardize continued housing assistance.

Accuracy & Verification

Inaccurate information – whether intentional or accidental – can lead to incorrect rent calculations, misallocation of benefits, or compliance issues with federal housing regulations.

DHA reserves the right to follow up with verification procedures at any time and may take corrective action if discrepancies are discovered.

Residents are strongly encouraged to review the form carefully before submission and to reach out to DHA staff if they have questions or concerns about the information being certified.

Before You Submit:

Need Help?

If you have questions about completing the Self-Certification Form or need assistance before submitting it, please contact the Dover Housing Authority.