New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-M - Former Division of Mental Health and Developmental Services
Chapter He-M 1000 - HOUSING
Part He-M 1007 - HOUSING SECURITY GUARANTEE PROGRAM
Section He-M 1007.04 - HSG Application

Universal Citation: NH Admin Rules He-M 1007.04

Current through Register No. 40, October 3, 2024

(a) An application for a HSG shall be made jointly, in writing, by a landlord and tenant applicant to a provider for the county in which a tenant applicant's proposed housing unit is located.

(b) An application for a HSG shall include:

(1) The name, address, and telephone number of the landlord;

(2) The address of the proposed housing unit;

(3) The name of the tenant applicant;

(4) The dollar amount of the requested security deposit, not to exceed one month's rent;

(5) The dollar amount of the tenant applicant's household net income;

(6) The dollar amount of the fixed monthly expenses including but not limited to food, utilities, day care, and transportation;

(7) The dollar amount of the monthly rent to be charged;

(8) A copy of any proposed lease or rental agreement;

(9) Sworn statements from both the landlord and the tenant applicant describing their prior participation, if any, in the HSG program;

(10) The landlord's written agreement to accept a HSG certificate issued in accordance with these rules and RSA 126-A:50-63;

(11) The landlord's written commitment to rent a dwelling or housing unit to the tenant applicant;

(12) The tenant applicant's written agreement to make the periodic payments required by RSA 126-A: 56 and in accordance with He-M 1007.07;

(13) Confirmation of the move-in condition of the dwelling or housing unit, by providing:
a. A sworn certification by the landlord and tenant applicant of the move-in condition of the dwelling or housing unit; or

b. A statement from the provider that through an inspection the dwelling or housing unit meets the housing requirements in RSA 48-A:14; and

(14) Dated signatures of the tenant applicant and landlord.

(c) Review of HSG applications and decisions on such HSG applications shall be performed and made by a provider within 5 business days of the submission of a completed application.

(d) The provider shall notify the tenant applicant or landlord of an incomplete application within 15 days of the submission of the application.

#9579, eff 10-24-09

Disclaimer: These regulations may not be the most recent version. New Hampshire may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.