• Tools and Templates

HPRP Self-Declaration of Income Template

Date Published: October 2009



This sample template can be used by HPRP grantees and subgrantees for self-declaration of income for individuals applying for assistance when third-party verification is not possible.

Resource Links

Tags: HPRP

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Please bear in mind that these documents were created by organizations based on their specific needs and objectives, and they may reflect local laws and policies. Grantees and their partners should go through their own process to develop policies and corresponding procedures that are appropriate locally and that are compliant with federal, state, and local law.

Author Organization
  • Abt Associates
  • Victory Programs, Inc.
Resource Approver
  • Peer Approved