You are here

Model Forms for VAWA Available on hud.gov

Model Forms for VAWA

The U.S. Department of Housing and Urban Development (HUD) has created Microsoft Word files for the four model forms included in the Violence Against Women Act (VAWA) final rule that was published in the Federal Register on Nov. 16, 2016.

These forms are now available on the Office of Multifamily Housing’s webpage. The forms are:

  • VAWA Appendix A: Notice of Occupancy Rights Under the Violence Against Women Act, form HUD-5380
  • VAWA Appendix B: Model Emergency Transfer Plan for Victims of Domestic Violence, Dating Violence, Sexual Assault, or Stalking, form HUD-5381
  • VAWA Appendix C: Certification of Domestic Violence, Dating Violence, Sexual Assault, or Stalking and Alternate Documentation, form HUD-5382and 
  • VAWA Appendix D: Emergency Transfer Request for Certain Victims of Domestic Violence, Dating Violence, Sexual Assault, or Stalking, form HUD-5383