I understand that the information above relating to the size and annual income of my household may require
verification. Upon request, I agree to provide documentation. I also authorize my employer to release this
information for the U.S. Department of Housing and Urban Development, the City of Columbus, Columbus
Metropolitan Housing Authority, and contractors to verify my status as a Section 3 Resident.
By signing below, I agree that CMHA may share the information on this form with contractors, employers, or
training organizations. I understand that I am not guaranteed an interview, job, or admission to training and that
these decisions are made by the employer or training institution using their screening procedures.
If you have questions about Section 3, please send an email to firstname.lastname@example.org