WHAT IS THE VIOLENCE AGAINST WOMEN ACT (VAWA)? WHAT ARE VAWA’S HOUSING PROTECTIONS? WHO IS COVERED? WHAT HUD PROGRAMS ARE COVERED? WHAT FORMS OF VIOLENCE ARE COVERED? Forms HUD-5380, 5381, 5382, 5383, and 5384 are available in multiple languages.

You can fill out this form to show that you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking, and that you wish to use your rights under VAWA.

This form is one of your available options for responding to a covered housing provider’s written request for documentation of victim status or the incident(s) of VAWA violence/abuse. If you choose, you may submit one of

Purpose of Form: The Violence Against Women Act (“VAWA”) protects applicants, tenants, and program participants in certain HUD programs from being evicted, denied housing assistance, or terminated from housing assistance based on acts of domestic violence, dating violence, sexual assault, or stalking against them.

The Violence Against Women Act (“VAWA”) protects applicants, tenants, and program participants in certain HUD programs from being evicted, denied housing assistance, or terminated from housing assistance based on acts of domestic violence, dating violence, sexual assault, or stalking against them.

A HUD-approved certification form is attached to this notice. You can fill out this form to show that you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking, and that you wish to use your rights under VAWA.”

This form is just one of your available options for responding to a housing provider’s written request for documentation of victim status or the incident(s) of VAWA violence/abuse.

Violence Against Women Act (form HUD-5380) • Core protections and confidentiality rights should not be changed • The Notice of Occupancy Rights (form HUD-5380) and Certification Form (form HUD-5382) must be provided: To rejected applicants At move-in With notice of eviction or termination of assistance

You can fill out this form to show that you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking, and that you wish to use your rights under VAWA.”

Purpose of Form: The Violence Against Women Act (“VAWA”) protects applicants, tenants, and program participants in certain HUD programs from being evicted, denied housing assistance, or terminated