Form HUD-52665 PDF Details

The receiving PHA must always complete Part II-A.

Attachments: a copy of the voucher issued by the initial PHA, and the most recent form HUD-50058 with copies of all related verification information.

Initial billing: the receiving PHA's Part II-B must be received by the initial PHA within 90 days following the expiration date of the initial PHA's voucher.

Changes: for changes in the family status or the billing amount, Part II-B must be completed and sent within 10 working days from the effective date of the change.

Reimbursement: the initial PHA certifies it will reimburse amounts paid within 30 calendar days of receipt of Part II.

QuestionAnswer
Form NameForm HUD-52665
Form Length4 pages
Fillable?Yes
Fillable fields88
Avg. time to fill out15 min
Edition04/2023
Issuing agencyU.S. Department of Housing and Urban Development
Who completes itPart I: the initial PHA; Parts II-A and II-B: the receiving PHA
Other namesHUD-52665, HUD 52665, Form HUD-52665, 52665, Family Portability Information, HUD Portability Form
Official sourceForm HUD-52665 (Rev 04/2023), U.S. Department of Housing and Urban Development

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