Texas Department of Housing & Community Affairs - Building Homes and Strengthening Communities

Homeowner Reconstruction Assistance Forms Library

 

General Administration
Administrative Draw Workbook (XLSX) Updated 6/12/2023
Audit Certification (Compliance forms page)
Housing Contract System Access Request Form (DOCX)
Determination of Conflict of Interest (DOC)
Building Contractor Bid Certification (DOC)
Environmental
Refer to the Environmental Clearance page in the Program Services area for Environmental Clearance forms.
Lead-Based Paint
Lead Safe Housing Screening Worksheet (HUD Exchange)
Receipt of Lead-Based Paint Notification (DOC)
Elderly Homeowner’s Informed Consent Notice (DOC)
Re-Occupancy Notice – Lead Hazard (DOC)
Protect Your Family from Lead in Your Home (epa.gov)
Setup
HRA Project Setup Checklist (PDF)
HOME Program Intake Application (DOC)
HOME Program Intake Application (Spanish) (DOCX)
Employment Verification Form (PDF)
Asset Verification Form (PDF)
HOME Program Loan Addendum (PDF)
HOME Program Loan Addendum (Spanish) (DOC)
TDHCA Privacy Notice October 2015 (PDF)
Patriot Act Information Form (PDF)
Acknowledgement of Licensing Status for Loan Originator (DOC)
HRA Project File Documentation Checklist (DOC)
Building Contractor Bid Certification (DOC)
Affidavit of Marital Status (DOC)
Affidavit of Same/Assumed Name (DOC)
Manufactured Housing Application for Statement of Ownership and Location
Pre-Construction Conference Report (DOC)
Homeowner Certification and Agreement to Participate (DOC)
Homeowner Certification and Agreement to Participate (Spanish) (DOC)
Household Income Certification (HIC) (XLSX)

TDHCA Eligibility Verification Forms (Compliance forms page)

  • Intake Supplement for Subsidy Calculation
  • Asset Certification - Under $5,000
  • Certification of Zero Income (formerly Form 14.23)
  • Documentation of Telephone Verification
  • Release and Consent

HUD Forms – Other Optional Eligibility Verification Forms (HUD.gov)

  • Verification of Income from Business (formerly HOME Form 14.09)
  • Verification of Social Security Benefits (formerly HOME Form 14.10)
  • Verification of Pensions and Annuities (formerly HOME Form 14.11)
  • Verification of VA Benefits (formerly HOME Form 14.12)
  • Verification of Public Assistance Program (formerly HOME Form 14.13)
  • Verification of Child Support Payments (formerly HOME Form 14.14)
  • Verification of Alimony and Separation Payments (formerly HOME Form 14.15)
  • Verification of Recurring Cash Contributions (formerly HOME Form 14.16)
  • Verification of Income from Military (formerly HOME Form 14.17)
Verification of Disability (DOC)
Verification of Disability (Spanish) (DOCX)
HRA Certification of Principal Residence (DOC)
HRA Certification of Principal Residence (Spanish) (DOC)
Draws
Affidavit of Completion for Loan Activities (DOC)
Affidavit of Completion for Grant Activities (DOC)
Salary and Wage Cost Calculator and Timesheet with Instructions (XLS)
Single Family Setup and Draw Workbook Updated 9/25/2023 (XLSX) - Includes the following forms and instructions:
  • Instructions for Final Budget
  • Final Budget Tab (Fillable Form)
  • Checklist - Draw Request Documents
  • Instructions for Draw Request and Match Log
  • Draw Request And Match Log Tab (Fillable Form)
  • Instructions for Application and Certification for Payment
  • Application and Certification of Payment (Fillable Form)
  • Instructions for Budget Revision Request
  • Budget Revision Request (Fillable Form)
Instructions for Forms 51-8, 51-9, 51-10 and 51-11 (DOC)
Conditional Partial Release During Construction (DOC)
Unconditional Partial Release During Construction (DOC)
Conditional Final Release (DOC)
Unconditional Release on Final Payment (DOC)
Bills-Paid Affidavit (DOC)
Inspection
Work Write-Up/Cost Estimate (XLSX)
Construction Inspection Authorization (DOC)
Construction Inspection Authorization (Spanish) (DOC)
Initial Inspection Report (DOC)
Progress Inspection Report (DOC)
Final Inspection (DOC)

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