SECTION 8 PROJECT-BASED VOUCHER (PBV) PROGRAM CONTRACT OF FAMILY PARTICIPATION
 
MASSACHUSETTS  DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT (DHCD) and RAA ______________________________
 
This Contract is required for households that elect to reside in a Section 8 project-based voucher (PBV) program "Excepted” unit.  Generally, no more than 25% of the units in a building may be assisted under the PBV program.  However, the U.S. Department of Housing and Urban Development (HUD), which funds the PBV program, allows PBV assistance to be provided to additional Excepted Units if they will be occupied by a “Qualifying” Family.  A Qualifying Family is a household in which at least one member will receive at least one supportive service under a service program.
 
The household is obligated to participate in this service program as a condition of participation in the PBV program.  Failure by the household to meet its service obligation without good cause will require termination of PBV assistance.
 
1.  This PBV Contract of Family Participation is between the DHCD regional administering housing agency for the PBV program and the head of household on behalf of the Qualifying Family.
 
Housing Agency:  _________________________
 
Head of Household:  ____________________________                              
 
 2.  The Head of Household understands and agrees that in order to maintain the Qualifying Family’s eligibility for PBV assistance, the household member(s) named below must participate in a program of supportive services, as described in the attached summary of each respective household member’s Individual Service Plan(s) (ISP), for at least one year from the effective date of the ISP.
 
3.  By signing this Contract, the Head of Household affirms that the household member(s) listed below have entered into ISPs with the Service Provider, ___________________________________________.
ISP
 
Name: ________________________
 
Name: ________________________
 
Name: ________________________
 
Neither the Qualifying Family nor the Housing Agency is responsible for any failure on the part of the Service Provider to deliver the services as stated in the ISP.   The Housing Agency is not responsible for providing the services.
 
4.  The household member(s) named above are responsible for meeting the goals of their ISP within the time frames established in the ISP and for cooperating with all progress reviews for the purpose of evaluating the effectiveness of the provided services. 
If such evaluation indicates that the goal(s) of the ISP would be better served with additional or substituted services, the household member and the Service Provider may amend the ISP.  

5.  The Head of Household, and the household members who have indicated their consent by signing below, authorize the Service Provider to share information about their  participation in the ISP with the Housing Agency.
 
Household members:  
 
________________________
 
________________________
 
________________________
 
6.  The Housing Agency will consult with the Service Provider to determine if and when the goals of this Contract have been met by the household.  The term of the ISP may be extended for the purpose of allowing the household member(s) additional time to receive services.  
 
7.  Upon the successful completion of this Contract by all named household members, the household will continue to meet the definition of a Qualifying Family for purposes of residing in the Excepted Unit.
 
8.  Failure to successfully complete the terms of this Contract without good cause will result in household’s termination from the PBV program.
 
Such termination is grounds for eviction by the owner.

Signatures:
 
Head of Household:   ____________________________________
 
Date:  ____________________________________

Housing Agency:  ____________________________________ 
Date____________________________________

 

Summary of Individual Service Plan (ISP)
For Occupants of an “Excepted” Unit
 
1.  An Individual Service Plan (ISP) has been entered into between Service Provider 
Service Provider:  _______________________

and

PBV Household Member:  _______________________
 
2.  The ISP is effective on: _________________________.
                                            Date
 
A brief description of the supportive service(s) to be provided, the desired goal(s) and the anticipated date of completion is described below:
 
Supportive Service:  _______________________
 
Desired Goals for Household Member: _____________________________________________________________________________________
 
Anticipated Date of Completion:  _______________________
 
Supportive Service:  _______________________
 
Desired Goals for Household Member: ______________________________________________________________________________________
 
Anticipated Date of Completion:  _______________________

Supportive Service:  _______________________
 
Desired Goals for Household Member: ______________________________________________________________________________________
 
Anticipated Date of Completion:  _______________________

4.  The RAA: _______________________ will require the service provider to report annually on the household member’s progress toward achieving the goal(s) established in the ISP.  This annual report will permit the service provider to note any modifications to the ISP.

 
 
Head of Household:  _______________________
 
Date:  _______________________
 
Service Provider:  _______________________
 
Date:  _______________________