VAWA Emergency Transfer Policy

City of Chandler — Regular Meeting (2021-04-05)

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Revised 7/1/20202021 
 
 
 
Housing and Redevelopment Division 
 
Emergency Transfer Plan for Victims of  
Domestic Violence, Dating Violence, Sexual Assault, or Stalking 
 
Public Housing Program 
 
Emergency Transfers 
The City of Chandler Housing and Redevelopment Division (COCHRD) is concerned about the safety of its 
tenants, and such concern extends to tenants who are victims of domestic violence, dating violence, sexual 
assault, or stalking. In accordance with the Violence Against Women Act (VAWA), COCHRD allows tenants 
who are victims of domestic violence, dating violence, sexual assault, or stalking to request an emergency 
transfer from the tenant’s current unit to another unit. The ability to request a transfer is available regardless 
of sex, gender identity, or sexual orientation.  The ability of COCHRD to honor such request for tenants 
currently receiving assistance, however, may depend upon a preliminary determination that the tenant is or 
has been a victim of domestic violence, dating violence, sexual assault, or stalking, and on whether COCHRD 
has another dwelling unit that is available and is safe to offer the tenant for temporary or more permanent 
occupancy.  
 
This plan identifies tenants who are eligible for an emergency transfer, the documentation needed to 
request an emergency transfer, confidentiality protections, how an emergency transfer may occur, and 
guidance to tenants on safety and security. This plan is based on a model emergency transfer plan published 
by the U.S. Department of Housing and Urban Development (HUD), the federal agency that oversees that the 
public housing and housing choice voucher (HCV) programs are in compliance with VAWA. 
 
Eligibility for Emergency Transfers 
A tenant who is a victim of domestic violence, dating violence, sexual assault, or stalking, as provided in HUD’s 
regulations at 24 CFR part 5, subpart L, is eligible for an emergency transfer if the tenant reasonably believes 
that there is a threat of imminent harm from further violence if the tenant remains within the same unit. If 
the tenant is a victim of sexual assault, the tenant may also be eligible to transfer if the sexual assault 
occurred on the premises within the 90-calendar- day period preceding a request for an emergency transfer. 
 
A tenant requesting an emergency transfer must expressly request the transfer in accordance with the 
procedures described in this plan. 
 
Tenants who are not in good standing may still request an emergency transfer if they meet the eligibility 
requirements in this section. 
 
Emergency Transfer Request Documentation 
To request an emergency transfer, the tenant shall notify the PHA’s management office and submit a written 
request for a transfer to any PHA office. The PHA will provide reasonable accommodations to this policy for 
individuals with disabilities. The tenant’s written request for an emergency transfer should include either: 
Attachment X

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Revised 7/1/20202021 
 
1.   A statement expressing that the tenant reasonably believes that there is a threat of imminent 
harm from further violence if the tenant were to remain in the same dwelling unit assisted under 
the PHA’s program; OR 
2.   A statement that the tenant was a sexual assault victim and that the sexual assault occurred 
on the premises during the 90-calendar-day period preceding the tenant’s request for an 
emergency transfer. 
 
Confidentiality 
The PHA will keep confidential any information that the tenant submits in requesting an emergency transfer, 
and information about the emergency transfer, unless the tenant gives the PHA written permission to release 
the information on a time-limited basis, or disclosure of the information is required by law or required for use 
in an eviction proceeding or hearing regarding termination of assistance from the covered program. This 
includes keeping confidential the new location of the dwelling unit of the tenant, if one is provided, from the 
person or persons that committed an act of domestic violence, dating violence, sexual assault, or stalking 
against the tenant. See the Notice of Occupancy Rights under the Violence against Women Act for All Tenants 
for more information about the PHA’s responsibility to maintain the confidentiality of information related to 
incidents of domestic violence, dating violence, sexual assault, or stalking. 
 
Emergency Transfer Timing and Availability 
The PHA cannot guarantee that a transfer request will be approved or how long it will take to process a 
transfer request. The PHA will, however, act as quickly as possible to move a tenant who is a victim of 
domestic violence, dating violence, sexual assault, or stalking to another unit, subject to availability and safety 
of a unit. If a tenant reasonably believes a proposed transfer would not be safe, the tenant may request a 
transfer to a different unit. If a unit is available, the transferred tenant must agree to abide by the terms and 
conditions that govern occupancy in the unit to which the tenant has been transferred. The PHA may be 
unable to transfer a tenant to a particular unit if the tenant has not or cannot establish eligibility for that unit. 
 
If the PHA has no safe and available units for which a tenant who needs an emergency transfer is eligible, the 
PHA will assist the tenant in identifying other housing providers who may have safe and available units to 
which the tenant could move. At the tenant’s request, the PHA will also assist tenants in contacting the local 
organizations offering assistance to victims of domestic violence, dating violence, sexual assault, or stalking 
that are attached to this plan. 
 
Emergency Transfers: Public Housing (PH) Program  
If you are a public housing resident and request an emergency transfer as described in this plan, the PHA will 
attempt to assist you in moving to a safe unit quickly. The PHA will make exceptions as required to policies 
restricting moves. 
Emergency transfers for which you are not required to apply for assistance include the following: 
 
Public housing unit in a different development 
 
Public housing unit in the same development, if you determine that the unit is safe 
At your request, the PHA will refer you to organizations that may be able to further assist you. 
You may also request an emergency transfer to the following programs for which you are required to apply 
for assistance: 
 
HCV tenant-based program 
 
HCV project-based assistance

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 
Other programs administered by the PHA (such as state housing programs) 
Emergency transfers will not take priority over waiting list admissions for these types of assistance. At your 
request, the PHA will refer you to organizations that may be able to further assist you. 
Safety and Security of Tenants 
Pending processing of the transfer and the actual transfer, if it is approved and occurs, the tenant is urged to 
take all reasonable precautions to be safe. 
Tenants who are or have been victims of domestic violence are encouraged to contact the National Domestic 
Violence Hotline at 1-800-799-7233, or a local domestic violence shelter, for assistance in creating a safety 
plan. For persons with hearing impairments, that hotline can be accessed by calling 1-800-787-3224 (TTY). 
Tenants who have been victims of sexual assault may call the Rape, Abuse, and Incest National Network’s 
National Sexual Assault Hotline at 1-800-656-HOPE, or visit the online hotline at https://ohl.rainn.org/online/. 
Tenants who are or have been victims of stalking seeking help may visit the National Center for Victims of 
Crime’s Stalking Resource Center at https://www.victimsofcrime.org/our-programs/stalking-resource-center.

Form HUD 5383 
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Revised 7/1/20202021 
EMERGENCY TRANSFER                             U.S. Department of Housing                 OMB Approval No. 2577-0286 
REQUEST FOR CERTAIN                                and Urban Development                                   Exp. 06/30/2017 
VICTIMS OF DOMESTIC  
VIOLENCE, DATING VIOLENCE,  
SEXUAL ASSAULT, OR STALKING 
 
Purpose of Form: If you are a victim of domestic violence, dating violence, sexual assault, or stalking, and you are 
seeking an emergency transfer, you may use this form to request an emergency transfer and certify that you meet 
the requirements of eligibility for an emergency transfer under the Violence Against Women Act (VAWA).  Although 
the statutory name references women, VAWA rights and protections apply to all victims of domestic violence, dating 
violence, sexual assault or stalking. Using this form does not necessarily mean that you will receive an emergency 
transfer.  See your housing provider’s emergency transfer plan for more information about the availability of 
emergency transfers.    
 
The requirements you must meet are: 
 
(1) You are a victim of domestic violence, dating violence, sexual assault, or stalking.  If your 
housing provider does not already have documentation that you are a victim of domestic violence, 
dating violence, sexual assault, or stalking, your housing provider may ask you for such 
documentation.  In response, you may submit Form HUD-5382, or any one of the other types of 
documentation listed on that Form. 
 
(2) You expressly request the emergency transfer.  Submission of this form confirms that you 
have expressly requested a transfer.  Your housing provider may choose to require that you submit 
this form, or may accept another written or oral request.  Please see your housing provider’s 
emergency transfer plan for more details. 
 
(3) You reasonably believe you are threatened with imminent harm from further violence if 
you remain in your current unit.  This means you have a reason to fear that if you do not receive a 
transfer you would suffer violence in the very near future.   
 
OR 
 
You are a victim of sexual assault and the assault occurred on the premises during the 90-
calendar-day period before you request a transfer.  If you are a victim of sexual assault, then in 
addition to qualifying for an emergency transfer because you reasonably believe you are threatened 
with imminent harm from further violence if you remain in your unit, you may qualify for an 
emergency transfer if the sexual assault occurred on the premises of the property from which you 
are seeking your transfer, and that assault happened within the 90-calendar-day period before you 
submit this form or otherwise expressly request the transfer.      
 
Submission of Documentation:  If you have third-party documentation that demonstrates why you are eligible for 
an emergency transfer, you should submit that documentation to your housing provider if it is safe for you to do so.  
Examples of third party documentation include, but are not limited to: a letter or other documentation from a victim 
service provider, social worker, legal assistance provider, pastoral counselor, mental health provider, or other 
professional from whom you have sought assistance; a current restraining order; a recent court order or other 
court records; a law enforcement report or records; communication records from the perpetrator of the violence or 
family members or friends of the perpetrator of the violence, including emails, voicemails, text messages, and social 
media posts.

Form HUD 5383 
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Revised 7/1/20202021 
Confidentiality:  All information provided to your housing provider concerning the incident(s) of domestic violence, 
dating violence, sexual assault, or stalking, and concerning your request for an emergency transfer shall be kept 
confidential.  Such details shall not be entered into any shared database.  Employees of your housing provider are 
not to have access to these details unless to grant or deny VAWA protections or an emergency transfer to you.  Such 
employees may not disclose this information to any other entity or individual, except to the extent that disclosure is: 
(i) consented to by you in writing in a time-limited release; (ii) required for use in an eviction proceeding or hearing 
regarding termination of assistance; or (iii) otherwise required by applicable law.

Form HUD 5383 
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Revised 7/1/20202021 
 
TO BE COMPLETED BY OR ON BEHALF OF THE PERSON REQUESTING A TRANSFER  
1.  Name of victim requesting an emergency transfer: ______________________________________________________________ 
2.  Your name (if different from victim’s) ____________________________________________________________________________ 
3.  Name(s) of other family member(s) listed on the lease: __________________________________________________________ 
_________________________________________________________________________________________________________________________________ 
4.  Name(s) of other family member(s) who would transfer with the victim: _________________________________________ 
_________________________________________________________________________________________________________________________________ 
5.  Address of location from which the victim seeks to transfer: _____________________________________________________ 
6.  Address or phone number for contacting the victim: _____________________________________________________________ 
______________________________________________________________________________________________________________________ 
7.  Name of the accused perpetrator (if known and can be safely disclosed):________________________________________ 
8.  Relationship of the accused perpetrator to the victim: ___________________________________________________________ 
9.  Date(s), Time(s) and location(s) of incident(s): ____________________________________________________________________ 
______________________________________________________________________________________________________________________ 
______________________________________________________________________________________________________________________ 
10.  Is the person requesting the transfer a victim of a sexual assault that occurred in the past 90 days on the 
premises of the property from which the victim is seeking a transfer? _____   
If Yes,, skip question 11.  If no, fill out question 11. 
11.  Describe why the victim believes they are threatened with imminent harm from further violence if they remain 
in their current unit.  _______________________________________________________________________________________________ 
_____________________________________________________________________________________________________________________ 
_____________________________________________________________________________________________________________________ 
_____________________________________________________________________________________________________________________ 
12.  If voluntarily provided, list any third-party documentation you are providing along with this notice: 
___________________________________________________________________________________________________________________________________ 
___________________________________________________________________________________________________________________________________ 
This is to certify that the information provided on this form is true and correct to the best of my knowledge, and 
that the individual named above in Item 1 meets the requirement laid out on this form for an emergency transfer.  I 
acknowledge that submission of false information could jeopardize program eligibility and could be the basis for 
denial of admission, termination of assistance, or eviction.  
 
Signature _______________________________________________Signed on (Date) __________________________