Form HUD 50071 at a glance
What it is: Certification of Payments to Influence Federal Transactions is a U.S. Department of Housing and Urban Development form used to ensure federal funds are not used to influence members of Congress.
Who signs: The Name of Authorized Official and the Signature.
A filled-in Form HUD 50071 example: a housing authority certifies its grant program
How to fill out Form HUD 50071, box by box
Applicant Name and Program/Activity Receiving Federal Grant Funding
Enter the Applicant Name.
Enter the Program/Activity Receiving Federal Grant Funding.
Name of Authorized Official, Title, Signature and Date
By signing you certify that all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate.
Enter the Name of Authorized Official and the Title.
Sign on the Signature line and enter the Date (mm/dd/yyyy).
If your situation is different
No Federal appropriated funds have been paid or will be paid
The undersigned certifies, to the best of his or her knowledge and belief, that no Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
If any funds other than Federal appropriated funds have been paid or will be paid
If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, Disclosure Form to Report Lobbying, in accordance with its instructions.
Subawards at all tiers
The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all sub recipients shall certify and disclose accordingly.
Common questions about Form HUD 50071
Is there a penalty?
Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure (checked November 2, 2026). Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties.
Sources
[1] Form HUD 50071 (01/14), Certification of Payments to Influence Federal Transactions, U.S. Department of Housing and Urban Development (the Official source link on this page).