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Community Service Compliance Certification
I/We have received a copy of, have read, and understand the contents of the City of Chandler
Housing and Redevelopment’s Community Service Policy.
I/We understand that this is a requirement of the Quality Housing and Work Responsibility Act
of 1998 and that, if we do not comply with this requirement, our lease will not be renewed.
________________________________________________
___________________________
Head of Household Signature
Date
_________________________________________________
___________________________
Other Household Member Signature
Date
_________________________________________________
___________________________
Other Household Member Signature
Date
_________________________________________________
___________________________
Other Household Member Signature
Date
_________________________________________________
___________________________
Other Household Member Signature
Date
Attachment H
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Admissions and Continued Occupancy (ACOP)
Community Service Policy
Introduction
This chapter explains HUD regulations requiring PHAs to implement a community service program for all
nonexempt adults living in public housing.
This chapter describes HUD regulations and PHA policies related to these topics in two parts:
Part I: Community Service Requirements. This part describes who is subject to the community
service requirement, who is exempt, and HUD’s definition of economic self-sufficiency.
Part II: PHA Implementation of Community Service. This part provides PHA policy regarding PHA
implementation and program design.
Part I: Community Service Requirement
11-I.A. Overview
HUD regulations pertaining to the community service requirement are contained in 24 CFR 960 Subpart F
(§960.600 through §960.609). PHAs and residents must comply with the community service requirement,
effective with PHA fiscal years that commenced on or after October 1, 2000. Per §903.7(l)(1)(iii), the PHA
Plan must contain a statement of how the PHA will comply with the community service requirement,
including any cooperative agreement that the PHA has entered into or plans to enter into.
Community service is the performance of voluntary work or duties that are a public benefit, and that
serve to improve the quality of life, enhance resident self-sufficiency, or increase resident self-
responsibility in the community. Community service is not employment and may not include political
activities [24 CFR §960.601(b)].
In administering community service requirements, the PHA must comply with all nondiscrimination and
equal opportunity requirements [24 CFR §960.605(c)(5)].
11-I.B. Requirements
Each adult resident of the PHA, who is not exempt, must [24 CFR §960.603(a)]:
Contribute 8 hours per month of community service; or
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Participate in an economic self-sufficiency program (as defined in the regulations) for 8 hours per
month; or
Perform 8 hours per month of combined activities (community service and economic self-
sufficiency programs).
The required community service or self-sufficiency activity may be completed 8 hours each
month or may be aggregated across a year. Any blocking of hours is acceptable as long as 96
hours is completed by each annual certification of compliance [Notice PIH 2015-12].
Definitions
Exempt Individual [24 CFR §960.601(b), Notice PIH2015-12]
An exempt individual is an adult who:
Is age 62 years or older
Is blind or disabled (as defined under section 216[i][l] or 1614 of the Social Security Act), and who
certifies that because of this disability s/he is unable to comply with the service provisions
Is a primary caretaker of such an individual
Is engaged in work activities
PHA Policy
The PHA will consider 30 hours per week as the minimum number of hours needed to qualify for
a work activity exemption.
Is able to meet requirements of being exempted under a state program funded under part A
of title IV of the Social Security Act, or under any other welfare program of the state in which
the PHA is located, including a state-administered welfare-to-work program
This exemption applied to anyone whose characteristics or family situation meet the welfare
agency exemption criteria and can be verified.
Is a member of a family receiving assistance, benefits, or services under a state program
funded under part A of title IV of the Social Security Act, or under any other welfare program
of the state in which the PHA is located, including a state-administered welfare-to-work
program and the supplemental nutrition assistance program (SNAP), and has not been found
by the state or other administering entity to be in noncompliance with such program.
Community Service [24 CFR §960.601(b), Notice PIH2015-12]
Community service is the performance of voluntary work or duties that are a public benefit, and that serve
to improve the quality of life, enhance resident self-sufficiency, or increase resident self-responsibility in
the community. Community service is not employment and may not include political activities.
Eligible community service activities include, but are not limited to, work at:
Local public or nonprofit institutions such as schools, head start programs, before or after school
programs, child care centers, hospitals, clinics, hospices, nursing homes, recreation centers,
senior centers, adult day care programs, homeless shelters, feeding programs, food banks,
distribution either donated or commodity foods), or clothes closets,(distributing donated
clothing.).
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Nonprofit organizations serving PHA residents or their children such as: Boy or Girl Scouts, Boys
or Girls Club, 4-H clubs, Police Assistance League (PAL), organized children’s recreation,
mentoring or education programs, Big Brothers or Big Sisters, garden centers, community clean-
up programs, beautification programs.
Programs funded under the Older Americans Act, such as Green Thumb Service Corps of Retired
Executives, senior meals programs, senior centers, Meals on Wheels.
Serve as member of the resident organization (Tenant Community Builders) or resident advisory
board.
Public or nonprofit organizations dedicated to seniors, youth, children, residents, citizens, special-
needs populations or with missions to enhance the environment, historic resources, cultural
identities, neighborhoods, or performing arts
Caring for the children of other residents so parent may volunteer.
PHA Policy
Community Service must be only in the City of Chandler or serving citizens from the City of
Chandler.
Economic Self-Sufficiency Program [24 CFR §5.603(b), Notice PIH 2015-12]
For purposes of satisfying the community service requirement, an economic self-sufficiency program is
defined by HUD as any program designed to encourage, assist, train, or facilitate economic
independence of assisted families or to provide work for such families.
Eligible self-sufficiency activities include but are not limited to:
Job readiness or job training
Training programs through local one-stop career centers, workforce investment boards (local
entities administered through the U.S. Department of Labor), or other training providers
Employment counseling, work placement, or basic skills training
Education, including higher education (junior college or college), GED classes, or reading financial,
or computer literacy classes
Apprenticeships (formal or informal)
English proficiency or English as a second language classes
Budgeting and credit counseling
Any other program necessary to ready a participant to work (such as substance abuse or mental
health counseling)
Work Activities [42 U.S.C. 607(d)]
As it relates to an exemption from the community service requirement, work activities means:
Unsubsidized employment
Subsidized private sector employment
Subsidized public sector employment
Work experience (including work associated with the refurbishing of publicly assisted housing) if
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sufficient private sector employment is not available
On-the-job training
Job search and job readiness assistance
Community service programs
Vocational educational training (not to exceed 12 months with respect to any individual)
Job skills training directly related to employment
Education directly related to employment, in the case of a recipient who has not received a high
school diploma or a certificate of high school equivalency
Satisfactory attendance at secondary school or in a course of study leading to a certificate of
general equivalence, in the case of a recipient who has not completed secondary school or
received such a certificate
Notification Requirements [24 CFR §960.605(c)(2), Notice PIH2015-12, Notice PIH 2016-06]
The PHA must give each family a written description of the community service requirement, the process
for claiming status as an exempt person, and the process for PHA verification of exempt status. The PHA
must also notify the family of its determination identifying the family members who are subject to the
service requirement, and the family members who are exempt. In addition, the family must sign a
certification, such as Attachment A of Notice PIH 2015-12, that they have received and read the policy and
understand that if they are not exempt, failure to comply with the requirement will result in nonrenewal
of their lease. The family must also sign a certification at annual reexamination, such as Attachment B of
Notice PIH 2015-12, certifying that they understand the requirement.
PHA Policy
The PHA will provide the family with a copy of the Community Service Policy at lease-up, lease
renewal, when a family member is determined to be subject to the community service
requirement during the lease term, and at any time upon the family’s request. The policy will
notify the family that self-certification forms are subject to review by the PHA.
On an annual basis, at the time of lease renewal, the PHA will notify the family in writing of the
family members who are subject to the community service requirement and the family members
who are exempt. If the family includes nonexempt individuals the notice will include a list of
agencies in the community that provide volunteer and/or training opportunities, as well as a
documentation form on which they may record the activities they perform and the number of
hours contributed. The form will also have a place for a signature by an appropriate official, who
will certify to the activities and hours completed.
11-I.C. Determination of Exemption Status and Compliance [24 CFR §960.605(c)(3)]
The PHA must review and verify family compliance with service requirements annually at least thirty days
before the end of the twelve month lease term. The policy for documentation and verification of
compliance with service requirements may be found at Section 11-I.D., Documentation and Verification.
PHA Policy
Where the lease term does not coincide with the effective date of the annual reexamination, the
PHA will change the effective date of the annual reexamination to coincide with the lease term. In
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making this change, the PHA will ensure that the annual reexamination is conducted within 12
months of the last annual reexamination.
Annual Determination
Determination of Exemption Status
An exempt individual is excused from the community service requirement [24 CFR §960.603(a)].
PHA Policy
At least 60 days prior to lease renewal, the PHA will review and verify the exemption status of all
adult family members. This verification will only be done on an annual basis unless the family
reports a change or the PHA has reason to believe that an individual’s exemption status has
changed. For individuals who are exempt because they are 62 years of age and older, or disabled,
verification of exemption status will be done only at the initial examination.
Upon completion of the verification process, the PHA will notify the family of its determination in
accordance with the policy in Section 11-I.B., Notification Requirements.
Determination of Compliance
The PHA must review resident family compliance with service requirements annually at least 30 days
before the end of the 12-month lease term [24 CFR §960.605(c)(3)]. As part of this review, the PHA must
verify that any family member that is not exempt from the community service requirement has met his
or her service obligation.
PHA Policy
Approximately 90-120 days prior to the end of the lease term, the PHA will provide written notice
requiring the family to submit documentation that all subject family members have complied
with the service requirement. The family will have 10 business days to submit the PHA required
documentation form(s).
If the family fails to submit the required documentation within the required timeframe, or PHA
approved extension, the subject family members will be considered noncompliant with
community service requirements, and notices of noncompliance will be issued pursuant to the
policies in Section 11-I.E., Noncompliance.
Change in Status between Annual Determinations
PHA Policy
Exempt to Nonexempt Status:
If an exempt individual becomes nonexempt during the twelve month lease term, it is the
family’s responsibility to report this change to the PHA within 10 business days.
Within 10 business days of a family reporting such a change, or the PHA determining such
a change is necessary, the PHA will provide written notice of the effective date of the
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requirement, a list of agencies in the community that provide volunteer and/or training
opportunities, as well as a documentation form on which the family member may record
the activities performed and number of hours contributed.
The effective date of the community service requirement will be the first of the month
following 30 day notice.
Determination of Initial Compliance
When an adult family member becomes subject to community service, he or she must
perform 8 hours of community service for the months he or she is subject to the
requirement before the end of the lease term (anniversary date).
Example 1: Alberto Jones turns 18 on 5/10/15 and is not exempt from the community
service requirement. His community service requirement begins on 6/1/15, and his initial
compliance is reviewed before the end of the lease term (anniversary date), which is
11/30/15.
Alberto must perform 6 months of community service in his initial compliance period,
before the end of the lease term (anniversary date).
Example 2: Lisa Dewhurst leaves her job on 9/20/14 and is not exempt from the
community service requirement. Her community service requirement begins on 10/1/14,
and her initial compliance is reviewed before the end of the lease term (anniversary date),
which is 6/30/15.
-
Ms. Dewhurst must perform 9 months of community service in her initial compliance
period, before the end of the lease term (anniversary date).
Nonexempt to Exempt Status
If a nonexempt person becomes exempt during the twelve month lease term, it is the
family’s responsibility to report this change to the PHA within 10 business days. Any claim
of exemption will be verified by the PHA in accordance with the policy at 11-I.D.,
Documentation and Verification of Exemption Status.
Within 10 business days of a family reporting such a change, or the PHA determining such
a change is necessary, the PHA will provide the family written notice that the family
member is no longer subject to the community service requirement, if the PHA is able to
verify the exemption.
The exemption will be effective immediately.
11-I.D. Documentation And Verification [24 CFR §960.605(c)(4)], §960.607, Notice PIH 2016-08]
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The PHA must retain reasonable documentation of service requirement performance or exemption in
participant files.
Documentation and Verification of Exemption Status
PHA Policy
All family members who claim they are exempt from the community service requirement will be
required to sign the community service exemption certification form found in Exhibit 11-3. The
PHA will provide a completed copy to the family and will keep a copy in the tenant file.
The PHA will verify that an individual is exempt from the community service requirement by
following the verification hierarchy and documentation requirements in Chapter 7.
The PHA makes the final determination whether or not to grant an exemption from the
community service requirement. If a resident does not agree with the PHA’s determination, s/he
can dispute the decision through the PHA’s grievance procedures (see Chapter 14).
Documentation and Verification of Compliance
At each regularly scheduled reexamination, each nonexempt family member presents a signed
standardized certification form developed by the PHA of community service and self-sufficiency activities
performed over the last 12 months [Notice PIH 2015-12].
If qualifying community service activities are administered by an organization other than the PHA, a
family member who is required to fulfill a service requirement must provide documentation required by
the PHA. The PHA may require a self-certification or certification form a third party [24 CFR §960.607].
If the PHA accepts self-certification of compliance with the community service requirement, it must
provide a form which includes a statement that the client performed the required hours, contact
information for the community service provider, a description of activities performed, and dates of
service.
If the PHA accepts self-certification, it must validate a sample of certifications through third-party
documentation. The PHA must notify families that self-certification forms are available and that a sample
of self-certifications will be validated.
HUD strongly encourages PHAs to investigate community service compliance when there are questions
of accuracy.
PHA Policy
Each individual who is subject to the community service requirement will be required to record
their community service or self-sufficiency activities and the number of hours contributed on the
required form. The certification form will also include places for signatures and phone numbers
of supervisors, instructors, and counselors certifying to the number of hours contributed.
Families will be required to submit the documentation to the PHA, upon request by the PHA, at
least annually.
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If the PHA has reasonable cause to believe that the certification provided by the family is false or
fraudulent, the PHA has the right to require additional third-party verification.
11-I.E. Noncompliance
Noncompliant Residents
The lease specifies that it is renewed automatically for all purposes, unless the family fails to comply with
the community service requirement. Violation of the service requirement is grounds for nonrenewal of
the lease at the end of the twelve month lease term, but not for termination of tenancy during the course
of the twelve month lease term [24 CFR §960.603(b)].
PHAs may not evict a family due to CSSR noncompliance. However, if PHA finds a tenant is noncompliant
with CSSR, the PHA must provide written notification to the tenant of the noncompliance which must
include:
A brief description of the finding of non-compliance with CSSR.
A statement that the PHA will not renew the lease at the end of the current 12-month lease term
unless the tenant enters into a written work-out agreement with the PHA or the family provides
written assurance that is satisfactory to the PHA explaining that the tenant or other noncompliant
resident no longer resides in the unit. Such written work-out agreement must include the means
through which a noncompliant family member will comply with the CSSR requirement [24 CFR
§960.607(c), Notice PIH 2015-12].
The notice must also state that the tenant may request a grievance hearing on the PHA’s determination,
in accordance with the PHA’s grievance procedures, and that the tenant may exercise any available
judicial remedy to seek timely redress for the PHA’s nonrenewal of the lease because of the PHA’s
determination.
PHA Policy
The notice of noncompliance will be sent at least 45 days prior to the end of the lease term.
The family will have 10 business days from the date of the notice of noncompliance to enter into
a written work-out agreement to cure the noncompliance over the 12 month term of the new
lease, provide documentation that the noncompliant resident no longer resides in the unit, or to
request a grievance hearing.
If the family reports that a noncompliant family member is no longer residing in the unit, the
family must provide documentation that the family member has actually vacated the unit before
the PHA will agree to continued occupancy of the family. Documentation must consist of a
certification signed by the head of household as well as evidence of the current address of the
family member that previously resided with them.
If the family does not request a grievance hearing, or does not take either corrective action
required by the notice of noncompliance within the required 10 business day timeframe, the PHA
will terminate tenancy in accordance with the policies in Section 13-IV.D.
Continued Noncompliance and Enforcement Documentation [24 CFR §960.607(b)]
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Should a family member refuse to sign a written work-out agreement, or fail to comply with the terms of
the work-out agreement, PHAs are required to initiate termination of tenancy proceedings at the end of
the current 12-month lease (see 24 CFR §966.53(c)) for failure to comply with lease requirements. When
initiating termination of tenancy proceedings, the PHA will provide the following procedural safeguards:
Adequate notice to the tenant of the grounds for terminating the tenancy and for non-renewal of
the lease;
Right of the tenant to be represented by counsel;
Opportunity for the tenant to refute the evidence presented by the PHA, including the right to
confront and cross-examine witnesses and present any affirmative legal or equitable defense
which the tenant may have; and,
A decision on the merits.
PHA Policy
Notices of continued noncompliance will be sent at least 30 days prior to the end of the lease
term and will also serve as the family’s termination notice. The notice will meet the requirements
for termination notices described in Section 13-IV.D, Form, Delivery, and Content of the Notice.
The family will have 10 business days from the date of the notice of non-compliance to provide
documentation that the noncompliant resident no longer resides in the unit, or to request a
grievance hearing.
If the family reports that a noncompliant family member is no longer residing in the unit, the
family must provide documentation that the family member has actually vacated the unit before
the PHA will agree to continued occupancy of the family. Documentation must consist of a
certification signed by the head of household as well as evidence of the current address of the
noncompliant family member that previously resided with them.
If the family does not request a grievance hearing, or provide such documentation within the
required 10 business day timeframe, the family’s lease and tenancy will automatically terminate
at the end of the current lease term without further notice.
Part II: Implementation of Community Service
11-II.A. Overview
Each PHA must develop a policy for administration of the community service and economic self-
sufficiency requirements for public housing. It is in the PHA’s best interests to develop a viable, effective
community service program, to provide residents the opportunity to engage in the community and to
develop competencies.
PHA Implementation of Community Service
The PHA may not substitute any community service or self-sufficiency activities performed by residents
for work ordinarily performed by PHA employees, or replace a job at any location where residents
perform activities to satisfy the service requirement [24 CFR §960.609].
PHA Policy
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If a disabled resident certifies that s/he is able to perform community service, the PHA will ensure
that requests for reasonable accommodation are handled in accordance with the policies in
Chapter 2.
PHA Program Design
The PHA may administer qualifying community service or economic self-sufficiency activities directly, or
may make community service activities available through a contractor, or through partnerships with
qualified organizations, including resident organizations, and community agencies or institutions [24 CFR
§960.605(b)].
PHA Policy
The PHA will attempt to provide the broadest choice possible to residents as they choose
community service activities.
The PHA’s goal is to design a service program that gives residents viable opportunities to become
involved in the community and to gain competencies and skills. The PHA will work with resident
organizations and community organizations to design, implement, assess and recalibrate its
community service program.
The PHA will make every effort to identify volunteer opportunities throughout the community,
especially those in proximity to public housing developments. To the greatest extent possible, the
PHA will provide names and contacts at agencies that can provide opportunities for residents,
including persons with disabilities, to fulfill their community service obligations.
The PHA will provide in-house opportunities for volunteer work or self-sufficiency programs when
possible.
If a member of the family is participating in the FSS program, the regular meetings with the FSS
Specialist will satisfy community service activities.
Reference:
City of Chandler, Public Housing Admissions and Continued Occupancy Policy
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Exhibit 11-1: Community Service and Self-Sufficiency
A. Background
The Quality Housing and Work Responsibility Act of 1998 requires that all nonexempt (see definitions)
public housing adult residents (18 or older) contribute eight (8) hours per month of community service
(volunteer work) or participate in eight (8) hours of training, counseling, classes or other activities that
help an individual toward self-sufficiency and economic independence. This is a requirement of the
public housing lease.
B. Definitions
Community Service – community service activities include, but are not limited to, work at:
Local public or nonprofit institutions such as schools, head start programs, before or after
school programs, child care centers, hospitals, clinics, hopices, nursing homes, recreation
centers, senior centers, adult day care programs, homeless shelters, feeding programs, food
banks (distributing either donated or commodity foods), or clothes closets (distributing
donated clothing).
Nonprofit organizations serving PHA residents or their children such as: Boy or Girl Scouts,
Boys or Girls Club, 4-H clubs, Police Assistance League (PAL), organized children’s recreation,
mentoring or education programs, Big Brothers or Big Sisters, garden centers, community
clean-up programs, beautification programs.
Programs funded under the Older Americans Act, such as Green Thumb, Service Corps of
Retired Executives, senior meals programs, senior centers, Meals on Wheels.
Public or nonprofit organizations dedicated to seniors, youth, children, residents, citizens,
special-needs populations or with missions to enhance the environment, historic resources,
cultural identities, neighborhoods, or performing arts.
PHA housing to improve grounds or provide gardens (so long as such work does not alter the
PHA’s insurance coverage); or work through resident organizations to help other residents
with problems, including serving on the Resident Advisory Board.
Care for the children of other residents so parent may volunteer.
NOTE: Political activity is not acceptable for community service.
PHA Policy
Community Service must be only in the City of Chandler or serving citizens from the City
of Chandler.
Self-Sufficiency Activities – self-sufficiency activities include, but are not limited to:
Job readiness or job training
Training programs through local one-stop career centers, workforce investment boards (local
entities administered through the U.S. Department of Labor), or other training providers
Employment counseling, work placement, or basic skills training
Education, including higher education (junior college or college) or reading, financial, or
computer literacy classes
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Apprenticeships (formal or informal)
English proficiency or English as a second language classes
Budgeting and credit counseling
Any other program necessary to ready a participant to work (such as substance abuse or
mental health counseling)
Exempt Adult – an adult member of the family who meets any of the following criteria:
Is 62 years of age or older
Is blind or a person with disabilities (as defined under section 216[i][l] or 1614 of the Social
Security Act), and who certifies that because of this disability he or she is unable to comply
with the service provisions, or is the primary caretaker of such an individuals
Is engaged in work activities
Is able to meet requirements under a state program funded under part A of title IV of the
Social Security Act, or under any other welfare program of the state in which the PHA is
located, including a state-administered welfare-to-work program; or
Is a member of a family receiving assistance, benefits, or services under a state program
funded under part A of title IV of the Social Security Act, or under any other welfare
program of the state in which the PHA is located, including a state-administered welfare-to
work program and the supplemental nutrition assistance program (SNAP), and has not been
found by the state or other administering entity to be in noncompliance with such program.
PHAs can use reasonable guidelines in clarifying the work activities in coordination with TANF, as
appropriate.
Work Activities – as it relates to an exemption from the community service requirement, work
activities means:
Unsubsidized employment
Subsidized private sector employment
Subsidized public sector employment
Work experience (including work associated with the refurbishing of publicly assisted
housing) if sufficient private sector employment is not available
On-the-job training
Job search and job readiness assistance
Community service programs
Vocational educational training (not to exceed 12 months with respect to any individual)
Job skills training directly related to employment
Education directly related to employment, in the case of a recipient who has not received a
high school diploma or a certificate of high school equivalency
Satisfactory attendance at secondary school or in a course of study leading to a certificate of
general equivalence, in the case of a recipient who has not completed secondary school or
received such a certificate
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Provision of child care services to an individual who is participating in a community service
Program
C. Requirements of the Program
1. The eight (8) hours per month may be either volunteer work or self-sufficiency program activity,
or a combination of the two.
2. At least eight (8) hours of activity must be performed each month or may be aggregated across a
year. Any blocking of hours is acceptable as long as 96 hours is completed by each annual
certification of compliance.
3. Family obligation:
At lease execution, all adult members (18 or older) of a public housing resident family
must:
o
Sign a certification (Attachment A) that they have received and read this policy
and understand that if they are not exempt, failure to comply with the community
service requirement will result in a nonrenewal of their lease; and
o
Declare if they are exempt. If exempt, they must complete the Exemption Form
(Exhibit 11-3) and provide documentation of the exemption.
Upon written notice from the PHA, nonexempt family members must present complete
documentation of activities performed during the applicable lease term. This
documentation will include places for signatures of supervisors, instructors, or
counselors, certifying to the number of hours contributed.
If a family member is found to be noncompliant at the end of the 12-month lease term,
he or she, and the head of household, will be required to sign an agreement with the
housing authority to make up the deficient hours over the next twelve (12) month period,
or the lease will be terminated.
At annual reexamination, the family must also sign a certification certifying that they
understand the community service requirement.
4. Change in exempt status:
If, during the twelve (12) month lease period, a nonexempt person becomes exempt, it is
his or her responsibility to report this to the PHA and provide documentation of exempt
status.
If, during the twelve (12) month lease period, an exempt person becomes nonexempt, it is
his or her responsibility to report this to the PHA. Upon receipt of this information the
PHA will provide the person with the appropriate documentation form(s) and a list of
agencies in the community that provide volunteer and/or training opportunities.
D. Authority Obligation
1. To the greatest extent possible and practicable, the PHA will:
Provide names and contacts at agencies that can provide opportunities for residents,
including residents with disabilities, to fulfill their community service obligations.
Provide in-house opportunities for volunteer work or self-sufficiency activities.
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2. The PHA will provide the family with a copy of this policy, and all applicable exemption verification
forms and community service documentation forms, at lease-up, lease renewal, when a family
member becomes subject to the community service requirement during the lease term, and at
any time upon the family’s request.
3. Although exempt family members will be required to submit documentation to support their
exemption, the PHA will verify the exemption status in accordance with its verification policies.
The PHA will make the final determination as to whether or not a family member is exempt from
the community service requirement. Residents may use the PHA’s grievance procedure if they
disagree with the PHA’s determination.
4. Noncompliance of family member:
At least thirty(30) days prior to the end of the 12-month lease term, the PHA will begin
reviewing the exempt or nonexempt status and compliance of family members;
If, at the end of the initial 12-month lease term under which a family member is subject to
the community service requirement, the PHA finds the family member to be
noncompliant, the PHA will not renew the lease unless:
o
The head of household and any other noncompliant resident enter into a written
agreement with the PHA, to make up the deficient hours over the next twelve (12)
month period; or
o
The family provides written documentation satisfactory to the PHA that the
noncompliant family member no longer resides in the unit.
If, at the end of the next 12-month lease term, the family member is still not compliant, a
30-day notice to terminate the lease will be issued and the entire family will have to
vacate, unless the family provides written documentation satisfactory to the PHA that the
noncompliant family member no longer resides in the unit;
The family may use the PHA’s grievance procedure to dispute the lease termination.
All adult family members must sign and date below, certifying that they have read and received a copy of
this Community Service and Self-Sufficiency Policy.
__________________________________________________
Head of Household Signature
Date
__________________________________________________
Other Household Member Signature
Date
__________________________________________________
Other Household Member Signature
Date
__________________________________________________
Other Household Member Signature
Date
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Exhibit 11-2: Definition of a Person with a Disability Under Social Security Acts
216(i)(l) and Section 1416 (excerpt) for Purposes of Exemption from Community
Service
Social Security Act:
216(i)(1): Except for purposes of sections 202(d), 202(e), 202(f), 223, and 225, the term “disability” means
(A) inability to engage in any substantial gainful activity by reason of any medically determinable physical
or mental impairment which can be expected to result in death or has lasted or can be expected to last
for a continuous period of not less than 12 months, or (B) blindness; and the term “blindness” means
central visual acuity of 20/200 or less in the better eye with the use of a correcting lens. An eye which is
accompanied by a limitation in the fields of vision such that the widest diameter of the visual field
subtends an angle no greater than 20 degrees shall be considered for purposes of this paragraph as
having a central visual acuity of 20/200 or less.
Section 1416 (excerpt):
SEC. 1614. [42 U.S.C. 1382c] (a)(1) For purposes of this title, the term “aged, blind, or disabled individual”
means an individual who—
(A) is 65 years of age or older, is blind (as determined under paragraph (2)), or is disabled (as
determined under paragraph (3)), and
(B)(i) is a resident of the United States, and is either (I) a citizen or (II) an alien lawfully admitted
for permanent residence or otherwise permanently residing in the United States under color of
law (including any alien who is lawfully present in the United States as a result of the application
of the provisions of section 212(d)(5) of the Immigration and Nationality Act), or
(ii) is a child who is a citizen of the United States and, who is living with a parent of the child who
is a member of the Armed Forces of the United States assigned to permanent duty ashore
outside the United States.
(2) An individual shall be considered to be blind for purposes of this title if he has central visual
acuity of 20/200 or less in the better eye with the use of a correcting lens. An eye which is
accompanied by a limitation in the fields of vision such that the widest diameter of the visual field
subtends an angle no greater than 20 degrees shall be considered for purposes of the first
sentence of this subsection as having a central visual acuity of 20/200 or less. An individual shall
also be considered to be blind for purposes of this title if he is blind as defined under a State plan
approved under title X or XVI as in effect for October 1972 and received aid under such plan (on
the basis of blindness) for December 1973, so long as he is continuously blind as so defined.
(3)(A) Except as provided in subparagraph (C), an individual shall be considered to be disabled for
purposes of this title if he is unable to engage in any substantial gainful activity by reason of any
medically determinable physical or mental impairment which can be expected to result in death
or which has lasted or can be expected to last for a continuous period of not less than twelve
months.
Page 17 of 17
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Exhibit 11-3: PHA Determination of Exemption for Community Service
Family:
Adult family member:
This adult family member meets the requirements for being exempted from the PHA’s community
service requirement for the following reason:
62 years of age or older. (Documentation of age in file)
Is a person with disabilities and self-certifies below that he or she is unable to comply with the
community service requirement. (Documentation of HUD definition of disability in file)
Tenant certification: I am a person with disabilities and am unable to comply with the
community service requirement.
____________________________________________ _________________________________
Family Member Signature
Date
Is the primary caretaker of such an individual in the above category. (Documentation in file)
Is engaged in work activities. (Employment Verification in file)
Is able to meet requirements under a state program funded under part A of title IV of the Social
Security Act, or under any other welfare program of the state in which the PHA is located,
including a state-administered welfare-to-work (Documentation in file)
Is a member of a family receiving assistance, benefits, or services under a state program funded
under part A of title IV of the Social Security Act, or under any other welfare program of the state
in which the PHA is located, including a state-administered welfare-to-work program and the
supplemental nutrition assistance program (SNAP), and has not been found by the state or other
administering entity to be in noncompliance with such program (Documentation in file)
_______________________________________________
Head of Household Signature
Date
_______________________________________________
Housing Administrative Supervisor Signature
Date