Make your own free website on


Family Member Move Out

About Us
Frequently Asked Questions (Section 8 & Public Housing)
About Our Public Housing Program
Public Housing Application
Housing Choice Voucher -Section 8 Application
Seminole County, FL Waiting List Status
FAQ: Landlords/Owners
Landlord/ Owners Check Your Payment History
Landlord's Frequently Used Forms
Participant's Frequently Used Forms
Porting Facts & Process
Property Listings (Apartments & Private Owners)
Need A Ride? LYNX Pick Up Line
Recent and Upcoming Events
Resource Corner
Employment Opportunities
Request for BID/Request for Qualifications
Contact Us


Notification of Family Member Move – Out


Instructions: Please complete this form and submit it to your PHA representative immediately in the event that any family member(s) move out of your housing unit.


Date: _______________________________


Head of Household ______________________________________________________________


Address ___________________________________________________________ Apt No. _____


Telephone # _________________________________


Please answer the following questions:


Name of family member who moved  ________________________________________________


Date that the family member moved _________________________________________________


What is the new address of this person? ______________________________________________






What is the new telephone number of this person? ______________________________________


What income did this person have? __________________________________________________                                                                                            





Signature of Head of Household___________________________________________________








WARNING: Section 1001 of Title 18 of the U.S. Code make it a criminal offense to make willful False statement or

Misrepresentation to any Department of Agency of the United States as to any matter within its jurisdiction.