Rental REcertification Questionnaire

The form below is the Rental Recertification Questionnaire Form and serves as BCHA's Annual Rental Recertification Form, as listed in the BCHA Community Housing Guidelines, which govern all Community Housing under BCHA's stewardship. The information you provide is CONFIDENTIAL and will not be shared or otherwise disseminated to any person or party that is outside of your current lease or rental agreement without your consent.

The purpose of this form is to ensure that your contact, income, and housing information is up to date and that you continue to be eligible for BCHA's Community Housing Rental Program. This form is required of all Community Housing Renters, as stipulated in the BCHA Deed Covenant attached to your property and governed by the Community Housing Guidelines, Section 3(C), as follows:

"C. Annual Re-Certification to Rent Community Housing
1. The eligibility of Tenants to lease and occupy Community Housing shall be reviewed and verified annually (i.e., re-certified) to ensure that they meet minimum residency and income category requirements under BCHA Guidelines that are in force at the time of the review. BCHA may charge the landlord an annual renewal fee as set by the Board.
2. To assist in this re-certification process, BCHA will send a Rental Renewal Approval Notice and instructions for re-certification.
3.  The Tenant shall, within 10 days:
    (a) Complete the form
    (b) Update application information if any changes
    (c) Send a copy of current pay stub
    (d) Send a copy of most recent tax return
4. The Rental Renewal Notice shall be sent concurrently to the landlord to verify rent, utilities, and lease dates within 10 days of receipt.​"

Please see the instructions, below, and if you have any questions, feel free to contact us at info@bcoha.org or by phone at 208.788.6102.

Instructions

  • Please respond to each question below and DO NOT leave any sections blank.  
  • If the question does not apply to you, enter N/A.  
  • You will not be able to submit this form unless all questions have an answer.  
  • If you wish to print, fill out, and mail the form, a link to a downloadable hard copy is found at the bottom of this page.

    Household Profile

    Contact Information
    Download Section 3, Renting Community Housing from this link.
    Please scan (or take a clear and legible picture of) your most recent tax return(s), SSI/D Award Letter (if applicable) and the last four(4) most recent, consecutive pay stubs (if applicable) and email them to info@bcoha.org. Put your name in the subject line. You may also email the office to set an appointment to deliver the item(s) above for inclusion in your file.
    Max file size: 20MB

    Exceeding Income Limits at Re-Certification (Community Housing Guidelines, Section 3(D)(1)&(2))

    1. If, upon review and re-certification, BCHA determines that the Tenant no longer meets the minimum Income Category requirements (up to a maximum of 10% over category limits), the Tenant may continue to rent and occupy the Community Home at the rental rate, and upon the terms established by the landlord's lease, for up to six (6) additional months in order to provide adequate time to secure new housing.
    2. At the conclusion of six (6) months, if the Tenant desires to remain in the Home, the landlord may, in consultation with BCHA, increase the rent at that time. No rental increase may cause the gross housing costs (Rent +Tenant-paid utilities) to exceed thirty percent (30%) of the Tenant’s gross monthly income.
    An additional 6-month extension may be provided upon successful appeal to the landlord and BCHA based on circumstances of serious illness or other hardship beyond the control of the Tenant.

    Housing Costs

    Costs Not Included in the Rent

    If you pay the following in ADDITION to your monthly rent, please check the appropriate box(es) below and enter the AVERAGE cost in the boxes to the right. If you do NOT pay any Utility Costs or if they are included in the Rent, please check "My Rent Includes all Utilities" and enter "0" in the boxes to the right.

    Rent

    Occupancy and Use

    Signatures

    By checking the box below as a form of signature, I (We) attest that the information listed is true and to the best of my (our) knowledge fully compliant with the current BCHA Community Housing Guidelines.

    Additional Comments or Suggestions

If you would like to mail in your Recertification, simply download the form by clicking on this button and mail your completed response to Blaine County Housing Authority, PO Box 4045, Ketchum, ID 83340