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HADC Use Only
Specialist Assigned:
Tenant Number:
Annual Effective:

Notice to Vacate Packet Cover Sheet
The following documents are required to initiate the move process:
• Notice to Vacate Form
• Annual Recertification Packet (enclosed)
• Income verifications for all family members (see attached checklist for
verification requirements)
Failure to submit the required documents will result in denial of
the notice to vacate request and will delay processing.

For Official HADC Use Only
Date 60 Day Notice to Vacate Received:
All Documents/Verifications Submitted:

(yes/no)

Request Approved:
Request Denied:

If you require special assistance or reasonable accommodations due to a disability, including the need
to receive documents or communications in alternative formats, please contact the Housing Choice
Voucher Program Office at (404) 270-2500. For Georgia Relay Service, please dial 7-1-1.

HADC Use Only
Specialist Assigned: __________________
Tenant Number: _____________________
Annua