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HSCP Authorization Form

Authorization Form

1. I/We understand that ICHDE provides housing stability counseling after which I/We will receive a written action plan consisting of recommendations for handling my/our situation, possibly including referrals to other housing agencies as appropriate.

I/We choose to(Required)

2. I/We agree to allow ICHDE to pull my/our credit report at the time of intake. In lieu of a new credit pull, I/We agree to provide ICHDE with a copy of my/our credit report dated within 30 days of the intake date.

I/We choose to(Required)

3. I/We understand that ICHDE receives Congressional funds through the Housing Stability Counseling Program (HSCP) and as such, is required to submit client-level information to the online reporting system and share some of my/our information with HSCP administrators or their agents for purposes of program monitoring, compliance and evaluation.

I/We choose to(Required)

4. I/We give permission for HSCP administrators and/or their agents to follow up with me/us between now and June 30, 2026, for the purpose of program evaluation.

I/We choose to(Required)

5. I/We may be referred to other housing services of the organization or other agency or agencies as appropriate that may be able to assist with concerns that have been identified. I /We understand that I/we am not obligated to uses any of the services offered to me/us.

I/We choose to(Required)

Please note: If client opts out of 2 or 3 above, they cannot be reported to the HSCP Program.

See Attached: ICHDE Authorization Form to view affiliated business.
ICHDE leases/rents residential properties to the public. As a client of HSCP services, you are under no obligation to rent a property from ICHDE.
ICHDE lists/sells properties to the public. As a client of HSCP services, you are under no obligation to purchase a property from ICHDE, or use the services of ICHDE.

Client name(Required)

First Middle Last

Client signature(Required)

Date(Required)

Co-Borrower name (if applicable)

First Middle Last

Co-Borrower signature (if applicable)

Date

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Forms

HSCP Authorization Form

Interfaith Community Housing of Delaware Inc. (ICHDE)

Head Office

Dover Office

Interfaith Community Housing of Delaware Inc. (ICHDE)

Head Office

Dover Office