HUD 9886 Form PDF Details

In signing this consent form, you are authorizing HUD and the HA to request income information from the sources listed on the form.

From: State Wage Information Collection Agencies; U.S. Social Security Administration and U.S. Internal Revenue Service (HUD only); employers and financial institutions

Failure to sign: Your failure to sign the consent form may result in the denial of eligibility or termination of assisted housing benefits, or both.

New adults: Additional signatures must be obtained from new adult members joining the household or whenever members of the household become 18 years of age.

Expires: This consent form expires 15 months after signed.

QuestionAnswer
Form NameHUD 9886 Form
Form Length2 pages
Fillable?Yes
Fillable fields19
Avg. time to fill out4 min
Edition07/14
Issuing agencyU.S. Department of Housing and Urban Development
Other namesHUD 9886, HUD-9886, HUD 9886-A, Form HUD-9886

How to Fill Out Form HUD-9886

Form HUD-9886 at a glance

What it is: This form is the Authorization for the Release of Information/Privacy Act Notice to the U.S. Department of Housing and Urban Development (HUD) and the Housing Agency/Authority (HA).

Who signs: Each member of your household who is 18 years of age or older must sign the consent form. Additional signatures must be obtained from new adult members joining the household or whenever members of the household become 18 years of age.

In signing this consent form, you are authorizing HUD and the HA named on the form to request income information from the sources listed on the form.

Persons who apply for or receive assistance under these programs are required to sign this consent form: PHA-owned rental public housing, Turnkey III Homeownership Opportunities, Mutual Help Homeownership Opportunity, Section 23 and 19(c) leased housing, Section 23 Housing Assistance Payments, HA-owned rental Indian housing, Section 8 Rental Certificate, Section 8 Rental Voucher and Section 8 Moderate Rehabilitation.

A filled-in Form HUD-9886 example: a head of household and spouse sign

Form HUD-9886 example filled out, example: a head of household and spouse sign
Jane Sample, head of household, and spouse John sign HUD-9886. The household has two members aged 18 or older, so Other Family Member over age 18 stays empty. The picture shows the signature page only, and none of its entries is real. Jane has a Social Security Number, so it goes in its box. Both sign on the same day, so both Date boxes match. The PHA or IHA release boxes on page 1, which hold the requesting agency's full address, contact person and date, are not in the picture.

How to fill out Form HUD-9886, box by box

PHA and IHA requesting release of information

Form HUD-9886 example filled out, pHA and IHA requesting release of information

Under PHA requesting release of information and under IHA requesting release of information, enter the full address, name of contact person, and date; cross out the space if none.

Head of Household signature and Social Security Number

Form HUD-9886 example filled out, head of Household signature and Social Security Number

The Head of Household signs on the line marked Head of Household and enters the Date.

Enter the Social Security Number (if any) of Head of Household.

Giving the Social Security Numbers of all household members six years of age and older is mandatory, and not providing the Social Security Numbers will affect your eligibility.

Spouse signature

Form HUD-9886 example filled out, spouse signature

The Spouse signs on the line marked Spouse and enters the Date.

Other Family Member over age 18

Form HUD-9886 example filled out, other Family Member over age 18

Each Other Family Member over age 18 signs on a line marked Other Family Member over age 18 and enters the Date.

More rules for Form HUD-9886

Your failure to sign the consent form may result in the denial of eligibility or termination of assisted housing benefits, or both. Denial of eligibility or termination of benefits is subject to the HA's grievance procedures and Section 8 informal hearing procedures.

HAs that receive income information under this consent form cannot use it to deny, reduce or terminate assistance without first independently verifying what the amount was, whether you actually had access to the funds and when the funds were received. In addition, you must be given an opportunity to contest those determinations.

The law requires you to sign a consent form authorizing: (1) HUD and the HA to request verification of salary and wages from current or previous employers; (2) HUD and the HA to request wage and unemployment compensation claim information from the state agency responsible for keeping that information; (3) HUD to request certain tax return information from the U.S. Social Security Administration and the U.S. Internal Revenue Service.

State Wage Information Collection Agencies: this consent is limited to wages and unemployment compensation you have received during period(s) within the last 5 years when you have received assisted housing benefits.

U.S. Social Security Administration (HUD only): this consent is limited to the wage and self employment information and payments of retirement income as referenced at Section 6103(l)(7)(A) of the Internal Revenue Code.

U.S. Internal Revenue Service (HUD only): this consent is limited to unearned income, i.e., interest and dividends.

Information may also be obtained directly from current and former employers concerning salary and wages and from financial institutions concerning unearned income, i.e., interest and dividends. This consent form only authorizes release directly from employers and financial institutions of information regarding any period(s) within the last 5 years when you have received assisted housing benefits.

Private owners may not request or receive information authorized by this form.

Failure to provide any of the requested information may result in a delay or rejection of your eligibility approval.

This information may be released to appropriate Federal, State, and local agencies, when relevant, and to civil, criminal, or regulatory investigators and prosecutors. However, the information will not be otherwise disclosed or released outside of HUD, except as permitted or required by law.

Any applicant or participant affected by negligent disclosure of information may bring civil action for damages, and seek other relief, as may be appropriate, against the officer or employee of HUD, the HA or the owner responsible for the unauthorized disclosure or improper use.

Form HUD-9886 (07/14): the original is retained by the requesting organization.

Common questions about Form HUD-9886

What is a HUD 9886 form?

This form is the Authorization for the Release of Information/Privacy Act Notice to the U.S. Department of Housing and Urban Development (HUD) and the Housing Agency/Authority (HA). HUD collects your income and other information to determine your eligibility, the appropriate bedroom size, and the amount your family will pay toward rent and utilities.

Is there a deadline?

This consent form expires 15 months after signed.

Is there a penalty?

Any person who knowingly or willfully requests, obtains or discloses any information under false pretenses concerning an applicant or participant may be subject to a misdemeanor and fined not more than $5,000 (checked October 21, 2026). HUD, the HA and any owner (or any employee of HUD, the HA or the owner) may be subject to penalties for unauthorized disclosures or improper uses of information collected based on the consent form.

Sources

[1] Form HUD-9886 (07/14), Authorization for the Release of Information/Privacy Act Notice, U.S. Department of Housing and Urban Development (the Official source link on this page).

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