• Tools and Templates

Emergency HOME TBRA Sample Owner Certification

Date Published: September 2020



This Emergency HOME Tenant-Based Rental Assistance (TBRA) Sample Owner Certification may be used by Participating Jurisdictions (PJs) to implement their local programs in response to the COVID-19 pandemic. The sample form assumes the use of all available waivers related to emergency TBRA as outlined in the April 2020 TBRA Memo and is a companion to the Emergency HOME TBRA Sample Application that a low-income household would complete. PJs may use the sample form to assess the physical condition of a unit in lieu of a physical inspection to reduce the risk of exposure of inspectors and tenants. It may be used in situations involving existing tenants seeking assistance to remain in a unit they already occupy or in situations where a household is seeking a new unit to rent.

This resource is part of the Emergency HOME TBRA Toolkit.

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Author Organization
  • HUD
Resource Approver
  • HUD Approved