Rehabilitation L-1 Monitoring Form
The purpose of rehabilitation is to take an existing unit and bring it up to the required standards set by HUD and REDD. TO qualify as rehabilitation, parts of the existing house must be used in the process.
(Bulletin 10-2)

Grantee:  	

Grant Number:  	

Prepared by:  	

Prepared Date:  	

Beneficiary Name:  	

Beneficiary Address:  	

				Details/Comments	

1.	
Is there an application for rehabilitation assistance and confirmed eligibility in the file? List date of application.	Yes	No		

2.	
Was income verified? List date of verification.
(24 CFR Part 570.483)	Yes	No		

3.	
Has the Grantee adopted and made public standards for determining affordable rents?
{24 CFR Part 570.483 (b)(3)}	

Yes	

No	Attach back-up
documentation to form.	

4.	
Does the case file contain a written scope of work?	

Yes	

No		

5.	
Is there an executed contract for the scope of work?	

Yes	

No		

6.	
What type of procurement was used for the rehabilitation contractor? Are there any concerns with the procurement method?
{24 CFR Part 85.36 (b)(3)}		

7.	

Was a visit made to the rehabilitated unit?	

Yes	

No		

8.	
Does the completed work conform to the Scope of Work? If not, why not? What corrective action is required?	

Yes	

No		

9.	
Does case file contain:		

a.   Contractor’s Certification of Work
Completion?
b.   Homeowner’s Acceptance of Work?
c.	Invoices & Grantee’s Certification for payment?
d.   Permits?	Yes	No		

10.	

What was the amount paid to the Contractor?			

11.	
Does the amount match the contract amount of
$5,000 or less?	
Yes	
No		

12.	
Does the amount match the contract amount of more than $5,000?	

Yes	

No		
	
Lead Based Paint	

13.	

Was the dwelling constructed before 1978?	

Yes	

No		

14.	

Do any children 6 years old or younger occupy structure?	

Yes	

No		
	
Inspection and Risk Assessment	

15.	
Is there a Lead based Paint Clearance Report in the file?
(Attach copy to this checklist for submittal)	Yes	No		
		N/A		

16.	
Is the Lead Based Paint Checklist signed by the
Grantee’s designated representative?
(Attach copy to this checklist for submittal)	Yes	No		
		N/A		

	
Contracting and Recapture	

17.	
What is the recapture amount?

What is the number of years in the recapture period?

Date recorded? Book and Page?	

Number of Years: Date Recorded: Book:
Page	

18.	

Were there any modifications? Final Book and Page:

Any Additional?	Yes	No

Date Recorded: Book:
Page:

Date Recorded: Book:
Page:

Date Recorded: Book:
Page:	

19.	
Did the homeowner receive a copy of the Note and Deed of Trust?  How is that documented?	
Yes	
No		
NOTES:	

_________________________________________	        _______________________
Grantee Representative				                    Date

____________________________________	          ___________________
Grant Management Representative				  Date