• Tools and Templates

Sample Domestic Partnership Declaration for HOPWA Assistance


Date Published: October 2008


Domestic partners known to identify as such in the community and other aspects of their lives will be considered a family household and treated as such for eligibility purposes under the HOPWA program. This sample form can be used to document the domestic partner relationship for the purpose of determining eligibility and calculating the resident rent payment. The form is also used to ensure beneficiaries understand program policy in the event of a family split.

For additional information, refer to the HOPWA Program Administration Toolkit.

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  • HUD
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  • HUD Approved