HOUSING HISTORY VERIFICATION LETTER
VoucherMatch template — reviewed September 29, 2026

Before sending: confirm the receiving program's evidence requirements and
the client's authorization to share information. Replace brackets and delete
these instructions. State what you know and how you know it. Do not certify
a program category or eligibility unless you have verified its requirements.
Do not disclose a survivor's location or unnecessary health information.
Guide: https://vouchermatch.com/resources/caseworkers

[Agency letterhead]
[Date]
[Receiving program and contact]

Re: Housing history of [Client name or required identifier]

I am [title] at [agency]. I have worked with [client] since [date]. This letter
is provided with the client's authorization for [purpose and recipient].

Based on [direct observations / identified agency records / other source],
I can verify the following:

- [Housing setting or program, relevant start and end dates, and facts
  requested by the receiving program. Include locations only when necessary
  and appropriate to disclose.]
- [How you know these facts and the dates of observations or records.]

[If relying on the client's account, identify it explicitly: "The client
reports that ..." Do not present the account as an independent observation.]

[If relevant to an institutional stay, provide its start and end dates,
the preceding housing setting, and the source of each fact.]

Please use this information to assess the documentation requirements of
your program. Contact me at [phone or email] for authorized verification
or to identify any additional documentation needed.

Sincerely,
[Signature]
[Printed name and title]
[Agency contact information]