Form HUD-9887 at a glance
What it is: HUD-9887: Notice and Consent for the Release of Information to HUD, an Owner and Management Agent (O/A) and a Public Housing Agency (PHA).
Who signs: Each household member who is at least 18 years of age, and each family head, spouse or co-head regardless of age, must sign.
In signing this consent form, you are authorizing HUD, the O/A, and the PHA to request income information from the government agencies listed on the form.
A filled-in Form HUD-9887 example: a head of household and spouse sign
How to fill out Form HUD-9887, box by box
Head of Household
Under Signatures, the head of household signs and enters the Date.
Spouse
Under Signatures, the spouse signs on the Spouse line and enters the Date.
Other Family Members 18 and Over
Under Signatures, other family members 18 and over sign on an Other Family Members 18 and Over line and enter the Date; use Additional Signatures, if needed. Head of Household and Spouse sign under Signatures.
Additional signatures must be obtained from new adult members when they join the household or when members of the household become 18 years of age.
More rules for Form HUD-9887
You do not have to sign this form when it is given to you. You may take the form home with you to read or discuss with a third party of your choice and return to sign the consent on a date you have worked out with the housing owner/manager.
If you cannot read and/or sign a consent form due to a disability, the O/A shall make a reasonable accommodation in accordance with Section 504 of the Rehabilitation Act of 1973. Such accommodations may include: home visits when the applicant's or tenant's disability prevents him/her from coming to the office to complete the forms; the applicant or tenant authorizing another person to sign on his/her behalf.
Use of the information collected based on the form HUD 9887 is restricted to the purposes cited on the form HUD 9887.
If your situation is different
You do not sign the consent form
Your failure to sign the consent form may result in the denial of assistance or termination of assisted housing benefits.
If an applicant is denied assistance for this reason, the owner must follow the notification procedures in Handbook 4350.3 Rev. 1. If a tenant is denied assistance for this reason, the owner or managing agent must follow the procedures set out in the lease.
A household member is unable to sign on time
If a member of the household who is required to sign the consent form is unable to sign the form on time due to extenuating circumstances, the O/A may document the file as to the reason for the delay and the specific plans to obtain the proper signature as soon as possible.
Agencies to provide information
State Wage Information Collection Agencies (HUD and PHA): 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 from your current form W-2.
National Directory of New Hires contained in the Department of Health and Human Services' system of records: 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. Internal Revenue Service (HUD only): this consent is limited to information covered in your current tax return.
No action can be taken to terminate, deny, suspend, or reduce the assistance your household receives based on information obtained about you under this consent until the HUD Office, Office of Inspector General (OIG) or the PHA (whichever is applicable) and the O/A have independently verified: 1) the amount of the income, wages, or unemployment compensation involved, 2) whether you actually have (or had) access to such income, wages, or benefits for your own use, and 3) the period or periods when, or with respect to which you actually received such income, wages, or benefits.
A photocopy of the signed consent may be used to request a third party to verify any information received under this consent (e.g., employer).
HUD, the O/A, or the PHA shall inform you, or a third party which you designate, of the findings made on the basis of information verified under this consent and shall give you an opportunity to contest such findings in accordance with Handbook 4350.3 Rev. 1.
Common questions about Form HUD-9887
What is a HUD 9887 form?
HUD-9887: Notice and Consent for the Release of Information to HUD, an Owner and Management Agent (O/A) and a Public Housing Agency (PHA). HUD, the O/A, and the PHA need this information to verify your household's income to ensure that you are eligible for assisted housing benefits and that these benefits are set at the correct level.
Where do I file it?
Original is retained on file at the project site.
What am I certifying when I sign?
Consent: I consent to allow HUD, the O/A, or the PHA to request and obtain income information from the federal and state agencies listed on the back of this form for the purpose of verifying my eligibility and level of benefits under HUD's assisted housing programs.
When is this form not the right one?
Do not sign this form if the space for organizations requesting release of information is left blank.
Sources
[1] Form HUD-9887 (02/2007), Notice and Consent for the Release of Information, U.S. Department of Housing and Urban Development (the Official source link on this page).
