Housing Choice Voucher (HCV) Online Forms

These forms are for current program participants only. Completing of any of these forms is not considered an application for the program.

HCV Personal Declaration Form Packet

HCV Statement of Household Income - Individual

HCV Income Verification Packet

HCV Annual Reexamination Packet

HCV Notice to Move

HCV Portability / Transfer Request

HCV ReliaCard Enrollment Form

HCV Declaration of Section 214 Status

(HCV) Instructions & How To Videos

1.  Relocation Briefing

This video should be viewed by someone who is a current Butler County Housing Choice Voucher Program participant who is currently relocating from one unit within Butler County to another unit within Butler County.


Forms Referenced

  • Personal Declaration Form

  • Annual Reexamination Packet

  • Income Verification Packet

  • Items Needed Checklist

  • Request for Tenancy Approval Packet (HUD 52517) – not available for download

  • Voucher (HUD 52646) – not available for download

Next Steps

  • Return all paperwork and verifications to Angel Barnett at abarnett@butlermetro.org, fax to 513-737-8522, or place in our dropbox at the front of the BMHA office building.

  • Sign the voucher and return it to Angel

  • Complete the Request for Tenancy Approval Packet with your potential landlord and return that to Butler Metropolitan Housing Authority

2.  Port-In Briefing

This video should be viewed by someone who is currently a Housing Choice Voucher Program participant from another jurisdiction who has elected to transfer and use your voucher in Butler County.


Forms Referenced

  • Personal Declaration Form

  • Annual Reexamination Packet

  • Income Verification Packet

  • Items Needed Checklist

  • Request for Tenancy Approval Packet (HUD 52517) – not available for download

  • Voucher (HUD 52646) – not available for download

Next Steps

  • Return all paperwork and verifications to Angel Barnett at abarnett@butlermetro.org, fax to 513-737-8522, or place in our dropbox at the front of the BMHA office building.

  • Sign the voucher and return it to Angel

  • Complete the Request for Tenancy Approval Packet with your potential landlord and return that to Butler Metropolitan Housing Authority

3.  New Applicant Eligibility Briefing

This video should be viewed by someone who has been contacted by the Butler County Housing Choice Voucher Program Application Coordinator that you have been pulled from the waiting list and are needing for your program eligibility to be determined.


Forms Referenced

  • Personal Declaration Form

  • Annual Reexamination Packet

  • Income Verification Packet

  • Items Needed Checklist

Next Steps

  • Return all paperwork and verifications to Angel Barnett at abarnett@butlermetro.org, fax to 513-737-8522, or place in our dropbox at the front of the BMHA office building.

4.  New Applicant Voucher
Issuance Briefing

This video should be viewed by someone who has been pulled from the Housing Choice Voucher Program waiting list, has completed the eligibility process, and has been determined as eligible for the program.


Forms Referenced

  • Request for Tenancy Approval Packet (HUD 52517) – not available for download

  • Voucher (HUD 52646) – not available for download

  • Emergency Contact Form (HUD 92006- Supplement to Application for Federally Assisted Housing)

  • HUD 1141: Is Fraud Worth it?

  • What You Should Know About EIV

  • Explanation of Voucher Timelines, Rent Calculation Explanation, Reasonable Accommodations, Grounds for Voucher Termination, and Informal Hearing Procedures

  • Maps of Butler County

  • Portability Notification and Response Form

  • Notice to HCV Applicants and Tenants Regarding the Violence Against Women Act (VAWA)

  • Utility Allowance Sheets

  • Proof of Ownership is Required (for potential landlords)

  • Sample Calculation Sheet

  • Sample Voucher (HUD 52646)

  • Sample Contract (HUD 52641)

  • Booklet: Protect Your Family from Lead in Your Home

  • Booklet: A Good Place to Live

  • Booklet: Fair Housing- Equal Opportunity for All

  • Booklet: Ohio Tenant-Landlord Law

Next Steps

  • Sign the voucher and return it to Angel Barnett at abarnett@butlermetro.org, fax to 513-737-8522, or place in our dropbox at the front of the BMHA office building.

  • Complete the Request for Tenancy Approval Packet with your potential landlord and return that to Butler Metropolitan Housing Authority

Housing Choice Voucher Printable PDF Forms

NOTE:  These are PDF forms for printing and completion offline.  These forms should only be used if you are unable to use the online forms above.