N.H. Admin. Code § He-M 1007.04

Current through Register No. 50, December 12, 2024

Section He-M 1007.04 - HSG Application

(a) An application for a HSG shall be made jointly, in writing, by a landlord and tenant applicant to a provider for the county in which a tenant applicant's proposed housing unit is located.

(b) An application for a HSG shall include:

(1) The name, address, and telephone number of the landlord;

(2) The address of the proposed housing unit;

(3) The name of the tenant applicant;

(4) The dollar amount of the requested security deposit, not to exceed one month's rent;

(5) The dollar amount of the tenant applicant's household net income;

(6) The dollar amount of the fixed monthly expenses including but not limited to food, utilities, day care, and transportation;

(7) The dollar amount of the monthly rent to be charged;

(8) A copy of any proposed lease or rental agreement;

(9) Sworn statements from both the landlord and the tenant applicant describing their prior participation, if any, in the HSG program;

(10) The landlord's written agreement to accept a HSG certificate issued in accordance with these rules and RSA 126-A:50-63;

(11) The landlord's written commitment to rent a dwelling or housing unit to the tenant applicant;

(12) The tenant applicant's written agreement to make the periodic payments required by RSA 126-A: 56 and in accordance with He-M 1007.07;

(13) Confirmation of the move-in condition of the dwelling or housing unit, by providing:

a. A sworn certification by the landlord and tenant applicant of the move-in condition of the dwelling or housing unit; or

b. A statement from the provider that through an inspection the dwelling or housing unit meets the housing requirements in RSA 48-A:14; and

(14) Dated signatures of the tenant applicant and landlord.

(c) Review of HSG applications and decisions on such HSG applications shall be performed and made by a provider within 5 business days of the submission of a completed application.

(d) The provider shall notify the tenant applicant or landlord of an incomplete application within 15 days of the submission of the application.

N.H. Admin. Code § He-M 1007.04

#9579, eff 10-24-09