№ files_lp_3_process_9_74785
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Official form certifying incidents of domestic violence, dating violence, sexual assault, or stalking for HUD housing program participants, including instructions for submission and confidentiality requirements.
Year:
2017
Region / City:
United States
Subject:
Domestic violence, dating violence, sexual assault, stalking
Document Type:
Certification form
Organization / Agency:
U.S. Department of Housing and Urban Development
Author:
HUD
Target Audience:
Applicants, tenants, and program participants in HUD programs
Effective Period:
Until 06/30/2017
Approval Number:
OMB 2577-0286
Confidentiality:
Information is protected under VAWA regulations
Submission Deadline:
14 business days from request
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Program:
IHCDA Community Services Housing Program
Issuing Authority:
Indiana Housing and Community Development Authority
Funding Source:
U.S. Department of Housing and Urban Development
Legal Basis:
Violence Against Women Reauthorization Acts of 2013 and 2022
Regulatory References:
24 CFR part 5, subpart L
Document Type:
Lease addendum
Jurisdiction:
Indiana, United States
Parties:
Tenant; Landlord
Associated Forms:
HUD-5380; HUD-5381; HUD-5382; HUD-5383
Subject Matter:
Tenant protections related to domestic violence, dating violence, sexual assault, and stalking
Confidentiality Provisions:
Yes
Emergency Transfer Provisions:
Yes
Year:
2026
Region / City:
United States
Topic:
Housing rights, domestic violence, sexual assault, stalking
Document Type:
Legal notice / Tenant information
Organization / Agency:
U.S. Department of Housing and Urban Development (HUD)
Target Audience:
Tenants and applicants of HUD-assisted housing programs
Legal Basis:
Violence Against Women Act (VAWA)
Program:
HUD-approved rental assistance programs
Procedures Included:
Lease bifurcation, emergency transfers, documentation requirements
Confidentiality:
Emergency transfer requests and victim location protected
Year:
2019
Region / City:
USA
Topic:
Immigration Law
Document Type:
Practice Advisory
Agency / Organization:
ASISTA
Author:
ASISTA
Target Audience:
Immigration practitioners
Effective Period:
February 2019
Approval Date:
February 2019
Date of Changes:
None
Year:
2023
Region/City:
Suffield, CT
Topic:
Immigration Law, VAWA, U Visa
Document Type:
Form
Organization/Institution:
ASISTA
Author:
ASISTA
Target Audience:
Immigration attorneys and advocates, OVW grantees
Period of Validity:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Program:
Violence Against Women Act (VAWA) Housing Protections
Form Number:
HUD-5382 (accompanied by Form HUD-5380)
Related Document:
Notice of Occupancy Rights Under the Violence Against Women Act (Form HUD-5380)
Issuing Authority:
U.S. Department of Housing and Urban Development (HUD)
Administering Organization:
Boyne City Housing Commission
Region:
Boyne City, Michigan, United States
Type of Document:
Certification Form for Housing Protection
Subject:
Documentation of Victim Status for Housing Protections
Confidentiality Provisions:
Information maintained separately and securely by covered housing provider
Eligible Persons:
Tenants and applicants of covered housing programs
Response Period:
At least 14 business days after written request
Legal Framework:
Violence Against Women Act (VAWA)
Assistance Provisions:
Language assistance and reasonable accommodation for persons with disabilities
Year:
2022
Region / City:
USA
Subject:
Immigration Law, VAWA Self-Petition
Document Type:
Advisory
Organization:
ASISTA, Immigrant Legal Resource Center (ILRC), Catholic Legal Immigration Network, Inc. (CLINIC)
Author:
ASISTA, ILRC, CLINIC
Target Audience:
Immigration practitioners, legal professionals
Effective Period:
February 10, 2022 onwards
Approval Date:
February 10, 2022
Date of Changes:
February 10, 2022
Year:
2014-2016
Region / City:
Georgia, United States
Topic:
Violence Against Women Act (VAWA) Implementation
Document Type:
Meeting notes / Implementation plan
Organization:
Criminal Justice Coordinating Council (CJCC)
Subcommittee:
Multidisciplinary Teams (MDT)
Chair:
Wendy Chitwood
Liaisons:
Jodi Spiegel, CJCC Staff Support: Betty Barnard, Tiffany Williams, Quincie McKibben
Target Audience:
Law enforcement, advocacy groups, service providers
Period Covered:
2014-2016
Meeting Locations:
Atlanta, GA
Key Activities:
Protocol development, SART support, capacity assessment, stakeholder engagement, policy review
Endorsing Bodies:
State agencies, CJCC, local coalitions
Email Contacts:
[email protected]
Summary:
Detailed minutes and action plans from MDT subcommittee meetings outlining the goals, objectives, and coordination strategies for supporting multidisciplinary responses to violence against women.
Year:
2026
Region / City:
Santa Barbara, California, USA
Theme:
Legal protections for victims of domestic violence
Document Type:
Informational notice
Organization / Institution:
Housing Authority of the City of Santa Barbara
Target Audience:
Applicants and tenants of assisted housing who may be victims of domestic violence, dating violence, sexual assault, or stalking
Required Forms:
HUD Form 50066
Contact Information:
Housing Authority Main Office 808 Laguna Street, Santa Barbara CA, Phone: (805) 965-1071
Support Services:
National Domestic Violence Hotline 1-800-799-7233, TTY 1-800-787-3224; Domestic Violence Solutions for Santa Barbara County 24-hr Crisis Hotline (805) 964-5245
Deadline for Documentation:
14 business days after request
Confidentiality:
Information related to domestic violence incidents must be kept confidential by the housing provider
Legal Basis:
Violence Against Women Act (VAWA) federal law
Year:
2026
Region / City:
Cumberland, Maryland, USA
Subject:
Domestic violence, dating violence, sexual assault, stalking
Document Type:
Legal notice / Housing policy
Agency:
U.S. Department of Housing and Urban Development (HUD)
Local Authority:
City of Cumberland Community Development Block Grant (CDBG)
Target Audience:
Tenants and applicants under HUD housing programs
Legal Basis:
Violence Against Women Act (VAWA)
Forms:
HUD-approved certification forms 5380, 5381, 5382, 5383
Emergency Contacts:
National Domestic Violence Hotline, Allegany County Sheriff’s Office, Family Crisis Resource Center, UPMC of Western Maryland
Rights Covered:
Protection from eviction, denial of housing assistance, lease bifurcation, emergency transfers
Context:
Federal and local housing policy notice outlining VAWA protections for individuals affected by domestic violence, dating violence, sexual assault, or stalking, including procedures for maintaining housing and requesting emergency transfers.
Year:
2022
Region / City:
United States
Topic:
Housing Rights, Domestic Violence Protection
Document Type:
Legal Overview
Institution:
U.S. Department of Housing and Urban Development (HUD)
Author:
U.S. Government
Target Audience:
Individuals affected by domestic violence, public housing residents, legal professionals
Effective Period:
From October 1, 2022
Date of Approval:
March 2022
Date of Amendments:
October 2022
Year:
2022
Region / City:
United States
Topic:
Housing rights, domestic violence, legal protections
Document Type:
Government publication
Organization:
U.S. Department of Housing and Urban Development (HUD)
Author:
U.S. Department of Housing and Urban Development (HUD)
Target Audience:
Individuals seeking housing assistance under VAWA protections
Period of Validity:
Ongoing
Approval Date:
October 1, 2022
Date of Changes:
March 2022
Year:
2026
Region / City:
United States
Subject:
Housing protections under the Violence Against Women Act (VAWA)
Document Type:
Certification Form
Agency / Organization:
U.S. Department of Housing and Urban Development (HUD)
Intended Audience:
Tenants or applicants seeking VAWA protections
Related Documents:
Notice of Occupancy Rights Under the Violence Against Women Act, Form HUD-5380
Confidentiality:
Information provided is strictly confidential and accessible only as permitted by law
Instructions:
Form used to certify victim status or document incidents of VAWA violence/abuse
Context:
Official government form documenting incidents of domestic violence, dating violence, sexual assault, or stalking for housing purposes under federal law
Year:
2017
Region / City:
United States
Topic:
Domestic Violence, Housing Assistance
Document Type:
Certification Form
Agency / Organization:
U.S. Department of Housing and Urban Development (HUD)
Author:
U.S. Department of Housing and Urban Development (HUD)
Target Audience:
Applicants, tenants, and program participants in HUD programs
Effective Period:
Until 06/30/2017
Approval Number:
OMB Approval No. 2577-0286
Expiration Date:
06/30/2017
Year:
2028
Region / City:
United States
Topic:
Housing, Violence Protection
Document Type:
Form
Agency / Organization:
U.S. Department of Housing and Urban Development
Author:
U.S. Department of Housing and Urban Development
Target Audience:
Tenants or applicants for housing under a covered housing program
Period of Validity:
N/A
Approval Number:
2577-0286
Expiration Date:
1/31/2028
Date of Approval:
N/A
Date of Changes:
N/A
Year:
2024
Region / City:
United States
Topic:
Emergency Housing Transfer Plan
Document Type:
Policy
Organization:
U.S. Department of Housing and Urban Development (HUD)
Author:
U.S. Department of Housing and Urban Development (HUD)
Target Audience:
Housing Providers, Tenants, Advocates
Effective Period:
Indefinite
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2023
Region / City:
United States
Topic:
Housing Protection, Domestic Violence, Legal Rights
Document Type:
Legal Notice
Author:
U.S. Department of Housing and Urban Development (HUD)
Target Audience:
Tenants and applicants for covered housing programs
Period of Validity:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2023
Region / City:
United States
Topic:
Emergency Housing Transfer for Victims of Domestic Violence
Document Type:
Request Form
Organization / Institution:
Covered Housing Providers
Author:
United States Department of Housing and Urban Development
Target Audience:
Tenants of Housing Assisted Under Covered Housing Programs
Effective Period:
N/A
Approval Date:
N/A
Modification Date:
N/A
Contextual Description:
A request form for tenants of covered housing programs to apply for an emergency transfer under the Violence Against Women Act due to domestic violence, dating violence, sexual assault, or stalking.
Note:
Year
Context:
Form for documenting victim status under the Violence Against Women Act (VAWA) for housing assistance under covered programs.
Year:
Expiration Date: 06/30/2017
Region/City:
United States
Theme:
Housing Protection, Domestic Violence
Document Type:
Certification Form
Institution:
U.S. Department of Housing and Urban Development (HUD)
Author:
U.S. Department of Housing and Urban Development (HUD)
Target Audience:
Applicants, tenants, program participants seeking VAWA protections
Period of Validity:
Ongoing
Approval Number:
OMB Approval No. 2577-0286
Date of Approval:
N/A
Date of Amendments:
N/A
Date:
22nd April – 26th April
Region / City:
Northumbria, United Kingdom
Theme:
Join Forces Against Stalking
Type:
Awareness Week / Event Series
Target Audience:
Professionals in stalking intervention and awareness
Organizing Body:
Northumbria Stalking Interventions Programme (NSIP)
Authors:
Caroline Saul, Emma Hildreth, Carolyn Harris, Freya McCarthy, Rachel/Beth, Morgan Pickering, Ciara Barrett-Smith, Gail McGregor, Dr. Emma Short, Sophie Townsend, DCI Neil Fuller, Helen Thompson, Rachel Richardson, Ashleigh Stuart, Laura Doggett, Amii Soulsby
Period of Activity:
22nd April – 26th April 2024
Date of Approval:
N/A
Date of Changes:
N/A