The landlord must obtain from each tenant leasing a rental ADU information regarding the tenant's annual income in order to ensure that the tenant meets the income eligibility criteria of the ADU program. The tenant must continue to meet these criteria in order to continue to lease the ADU. The tenant's income must be recertified annually.

The attached form is to be used for the initial verification of income and each annual certification. Third party verification of income reported is required. The form must be notarized.

The owner must provide the Department of Housing and Community Development with a copy of each initial and annual tenant verification.

Questions about this or any of the other attached documents should be directed to Special Projects, DHCD at 703-246-5112.