Instructions: Applicants taking points on the Housing Tax Credit (HTC) Program Self-Scoring Worksheet for setting aside units for people with disabilities (PWD), and who are eligible for HUD Section 811 Project-Based Rental Assistance (Section 811 PRA) Program, must work with the Minnesota Department of Human Services (DHS) contact to complete this narrative. This narrative will also serve as the PWD Service Agreement between the applicant and DHS and must be signed by both parties. Applicants are encouraged to contact DHS early in the planning process for the Section 811 PRA units.
 
Eligibility for Section 811 PRA is primarily determined through the Section 811 PRA Pre-Application that is due by the pre-application due date for the 2022 Multifamily Consolidated Request for Proposals (RFP). If the project is not determined eligible, the project is not eligible to apply for Section 811 PRA through the 2022 Multifamily Consolidated RFP. If the project is deemed eligible, this form must be completed and submitted via the Multifamily Customer Portal by the Multifamily Consolidated RFP due date. 

Development Information	
Development Name	     	
Applicant/Developer/Company Name	     	
Applicant Contact Person Name and Email 	     ;      	
DHS Contact Name	Heidi Sandberg	
DHS Division	Housing and Support Services	
Phone Number and Email	651.431.6357; heidi.sandberg@state.mn.us 	

Housing Units 
1.	Enter the housing unit distribution for this property.
a.	Total number of units at the property	     	
b.	Number of units that will be set aside and rented to people with disabilities 	     	
c.	Number of units that will be set aside and rented to people who are homeless (not including the units set aside for people with disabilities)	     	
d.	The total number of supportive housing units (b + c) [cannot exceed 25% of total units]	     	

2.	Unit Types and Rents: The income limit for Section 811 PRA units are restricted and cannot exceed 30% MTSP (multifamily tax subsidy projects). The Section 811 PRA rents are also restricted and cannot exceed the fair market rent (FMR). Enter the number of unit types and the proposed gross rent and FMR for the Section 811 PRA units that will be set aside and rented to people with disabilities.
Unit Size	Number of Units	Gross Rents	FMR	
1-BR units	     	     	     	
2-BR units	     	     	     	
NOTE: The unit gross rents for the Section 811 PRA units must match the gross rents entered on the Multifamily Workbook and the units indicated on the Section 811 PRA Pre-Application. 

Partnership
The owner collaborates with DHS to create affordable housing units through the Section 811 PRA Program to address the needs of people with disabilities in the community.    

The owner/property management will regularly communicate and coordinate with DHS to lease open units, address tenant needs, and solve problems.

The owner understands and agrees to the above partnership protocols with DHS regarding the Section 811 PRA Program.   Yes   No 	

Population Served, Outreach, and Referral 
To be eligible for Section 811 PRA, households must meet each of the following three criteria: 
•	The household must include at least one adult with a disability who is at least 18 but less than 62 years of age at the time of admission.
•	The household must include at least one adult with a disability who is eligible for community-based, long-term services funded through Medicaid or state funding sources, including Medicaid Home and Community Based Services, Adult Mental Health Services, Moving Home Minnesota demonstration services, also known as Money Follows the Person (MFP), and Minnesota’s Long-term Homeless Supportive Services.
•	Household income cannot exceed the Extremely Low Income (ELI) limit established by HUD nor 30% MTSP. Household income cannot exceed the lesser of the two income limits.

Beyond the initial eligibility for Section 811 PRA, Minnesota will work to maintain a 50/50 balance between the two population groups outlined below with extensive histories of housing instability, as evidenced by one of the following: 

1.	Experiencing homelessness, meeting the criteria of high priority homeless (HPH) (chronic homeless; long-term homeless). Unsheltered applicants will have priority (up to 25% of the units for this population will be targeted to unsheltered (homeless) applicants) 
2.	Exiting institutional settings* after a long-term stay of 90 days or more (up to 25% of the units targeted for this population may be targeted for persons at risk of institutionalization and living in segregated settings)
 *Institutional settings including Intermediate Care Facilities for Developmental Disabilities (ICF-DDs), nursing facilities, the Minnesota Specialty Health System facility in Cambridge, the Anoka Metro Regional Treatment Center, the Minnesota Security Hospital, and licensed residential treatment facilities for mental illness or chemical dependency. This may also include people with disabilities who are exiting state correctional facilities, including juvenile facilities, or “potentially” segregated residential settings, which may include the following:
i.	
i.	Adult foster care
ii.	Assisted living residence (customized living service) 
iii.	Board and lodge (includes homeless shelters) 
iv.	Board and lodge with special services 
v.	Boarding care 
vi.	Child foster care 
vii.	Children’s residential care (children’s residential facilities- Rule 5)
viii.	Crisis respite (foster care)
ix.	Housing with services establishment
x.	Supervised living facilities
xi.	Supported living services

Section 811 PRA participants will be referred by DHS from institutional settings, settings determined to be at risk of institutionalization (including assisted livings, corporate foster care, or settings in which the person receives Home and Community Based Waivered Services), or will be referred from homeless outreach, including persons who are unsheltered.

DHS will conduct outreach to Moving Home Minnesota providers, lead agencies, and homeless outreach providers to receive referrals to Section 811 PRA and will maintain a waiting list.

The owner/agent will notify DHS when a Section 811 PRA unit is available. DHS will then refer an applicant from the waiting list. DHS will provide written verification that the applicant has a disability.

3.	The owner understands the populations to be served by Section 811 PRA and the referral process to be used.
Yes    No 

Services
Section 811 PRA participants will be offered a variety of specific services to meet their individual needs. These include but are not limited to Home and Community Based Waivered Services, Moving Home Minnesota Case Management/ Comprehensive Community Services, Housing Stabilization Services, Targeted Case Management, Adult Rehabilitative Mental Health Services, and other grant funded services as available.

DHS will coordinate the referrals of services at the time a Section 811 PRA participant moves into a Section 811 PRA unit.

While Section 811 PRA participants will be eligible for long term services, they have a right to choose not to accept services or to stop services at any time.  

The property manager will obtain the name and contact information for each Section 811 PRA participant’s service provider, as well as a signed release of information. This will be done at lease signing and at each recertification.

The property manager will contact the service provider to provide crisis intervention, eviction prevention, and to address and mitigate lease infractions.

If the property manager is unable to reach a service provider, the property manager will notify DHS, who will try to locate the current provider and will work with the property manager to try to resolve the situation.

The owner understands the services that may be provided to Section 811 PRA participants, the right of participants not to accept services, and the process of working with service providers and DHS to mitigate any tenant, service, or lease issues.	Yes    No 	

Occupancy and Tenant Screening
Supportive housing units are intended to house people who often have poor credit, poor rental histories, criminal histories, and/or other barriers. Supportive Housing is successful in serving their intended population only when these issues do not raise insurmountable barriers to accessing housing.   

Each property funded through Minnesota Housing is required to follow Minnesota Housing’s Tenant Selection Plan (TSP) Guidelines. There are new explicit requirements for tenant screening for supportive housing units. Projects selected beginning with the 2021 Multifamily RFP are required to comply with these requirements. Minnesota Housing will review TSPs prior to loan closing or housing tax credit (HTC) carryover to make sure the TSP is structured to adequately reach the intended population. 

4.	Occupancy Conditions   
Attest to the following occupancy conditions for the units:
a.	Tenants will have their own apartment with a private bathroom and kitchen:	 
   Yes    No 	
 		   If no, explain:      
b.	Tenants will hold a lease or rental agreement:	
         Yes    No  
c.	There will not be limitations on the length of stay: 	  
        Correct     Not Correct  
d.	There will not be specific occupancy requirements for PWD units beyond standard 
         lease terms (e.g., sobriety, participation in services, curfew):	
          Correct    Not Correct  
  	   If there will be specific requirements, explain:      

Signatures 
The owner and the Minnesota Department of Human Services agree to provide the housing and services outlined in this narrative for people with disabilities and the HUD Section 811 Project-Based Rental Assistance Program for the units set aside in this development. This narrative will also serve as the PWD Service Agreement between the applicant and DHS and must be signed by both parties.

Owner:

     		     	
Name of Organization		Signature 	
			
     	     	     	
Authorized Signatory Name	Title	Date 	

Minnesota Department of Human Services:

Housing and Support Services Division Designee		     	
	Signature 	
			
     	     	     	
Authorized Signatory Name	Title	Date