Form LL/VER PDF Details

You can use this form to verify information about your housing situation.

SNAP: you may get more benefits if you tell DTA your rent amount and whether you pay for utilities.

TAFDC: DTA needs to know if you live in private, public or subsidized housing and if you pay rent.

EAEDC: DTA needs to know if you pay rent.

Instead: the form lists examples of verifications you can give DTA instead of this form.

Written statement: DTA may accept your written statement in some situations.

QuestionAnswer
Form NameForm LL/VER
Form Length2 pages
Fillable?Yes
Fillable fields31
Avg. time to fill out6 min
Edition6/2016
Issuing agencyMassachusetts Department of Transitional Assistance
Where to sendBy mail: DTA Document Processing Center, P.O. Box 4406, Taunton, MA 02780-0420; by fax: (617) 887-8765; in person at your local DTA office
Other namesLL/VER, Form LL/VER, Massachusetts LL/VER, Landlord Verification Form
Official sourceForm LL/VER (Rev 6/2016), Massachusetts Department of Transitional Assistance