Residents: Employment Ended - Notification to HA

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Phone: 864.855.0629 | Fax: 864.855.0864
103 Wallace Drive, Easley, SC 29640
EasleyHousing.org

[{"type":"file","required":true,"label":"Submit Letter of Termination.<br><br>Please select one or more files for upload. You may upload up to 20 files (35 Mb max). Files can be PDF, JPG, JPEG format. To upload multiple files, please hold control while clicking on multiple files before clicking \"Open\".","name":"Submit-Letter-of-Termination","subtype":"file","multiple":true,"className":"d-block"},{"type":"text","required":true,"label":"Resident First Name","name":"resident-first-name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Resident Last Name","name":"resident-last-name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Unit","name":"Unit","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"date","required":true,"label":"Date","name":"date","className":"col-md-6 col-lg-3"},{"type":"text","required":true,"label":"Employer Name","name":"Employer-Name","className":"col-lg-4","subtype":"text"},{"type":"date","required":true,"label":"End of Employment Date","name":"End-of-Employment-Date","className":"col-lg-4"},{"type":"date","required":true,"label":"Date of last paycheck","name":"Date-Of-Last-Pay-Check","className":"col-lg-4"},{"type":"file","required":true,"label":"A copy of pay stub is needed","name":"A-Copy-Of-Pay-Stub-Is-Needed","subtype":"file","multiple":true,"className":"d-block"},{"type":"checkbox-group","required":true,"label":"Have you applied for the following assistance? ","name":"Have-You-Applied-For-The-Following-Assistance","className":"d-block","values":[{"label":"Unemployment Benefits","value":"Unemployment-Benefits"},{"label":"Food Stamps / SNAP","value":"Food-Stamps-SNAP"},{"label":"TANF - Temporary Assistance for Needy Families","value":"TANF - Temporary Assistance for Needy Families"}]},{"type":"textarea","required":true,"label":"Do you anticipate any additional income during this period that you have not accounted for? ","name":"Do-You-Anticipate-Any-Additional-Income-During-This-Period-That-You-Have-Not-Accounted-For","subtype":"textarea","className":"d-block"},{"type":"text","required":true,"label":"Signature","name":"Signature","className":"d-block","subtype":"text"}]