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Joseph Smith
195 Woodbury Circle,
Middletown, CT 06457
RE: NOTICE TO QUIT POSSESSION
Woodbury Realty, Co. hereby gives you notice that you are to quit possession of the premises
now occupied by you at 195 Woodbury Circle, Middletown, CT 06457 on or before midnight of
April 17, 2023 (“Quit Date”). Your lease will terminate on April 18, 2023 (“Lease Termination
Date”). Woodbury Realty, Co.’s reason is as follows:
Nonpayment of rent - February 2023, in the amount of $1,050.00; March 2023, in the amount
of $1,050.00.
The balance on the rent account as of the date of this Notice is $2,167.24.
Any payments tendered after the date specified to quit possession or occupancy, or the date
of the completion of the pretermination process if that is later, will be accepted for use and
occupancy only and not for rent, with full reservation of rights to continue with the eviction action.
You have ten (10) calendar days, beginning upon the service of this Notice, within which to discuss
the termination of your tenancy with Woodbury Realty, Co., 220 Newfield Street, Middletown, CT
06457, (860)344-9107. If you are disabled, you have the right to request reasonable accommodations
to participate in the hearing process.
If you do not voluntarily vacate the premises on or before the above-termination date, it is
Woodbury Realty, Co.’s intention to commence eviction proceedings against you to recover
possession of the premises. If such an eviction proceeding is commenced, you will receive notice and
be given an opportunity to present a defense.
Attached you will find the Right to Counsel Notice in English and Spanish, HUD information
for tenants, and the Violence Against Women Act information.
Dated at West Hartford, Connecticut, March 14, 2023.
Woodbury Realty, Co.
Matthew J. Fratamico, Esq.
P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3
P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3
HUD Information for Tenants
The U.S. Department of Treasury’s (“Treasury”) Emergency Rental Assistance (ERA) program makes funding available to
assist households that are unable to pay rent or utilities. The funds were provided directly to states, U.S. territories, local
governments, and (in the case of the first program, ERA1) to Indian tribes or Tribally Designated Housing Entities, as
applicable, and the Department of Hawaiian Home Lands. Grantees use the funds to assist eligible households through
existing or newly created rental assistance programs.
In guidance and FAQs, Treasury advised that participants in HUD-assisted rental programs (including the Housing Choice
Voucher (HCV), Public Housing, or Project-Based Rental Assistance programs) are eligible for the ERA program and may
receive assistance for the tenant-owed portion of rent or utilities that is not subsidized. In FAQs for PHAs and HCV
landlords, PIH clarified that this assistance can include rent arrearages and utilities owed over the utility allowance. The
FAQs include additional guidance on interim reexaminations, income calculations, and additional considerations for private
landlords participating in the HCV program.
To learn more about how to apply for ERA go to: https://portal.ct.gov/DOH/DOH/Programs/UniteCT or 1-844 UniteCT (1-
844-864-8328).
State and local ERA grantees can also be accessed from Treasury’s website using the link “Find rental assistance in your
area.”
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO.
Notice of Occupancy Rights under the Violence Against Women Act1
To all Tenants and Applicants
The Violence Against Women Act (VAWA) provides protections for victims of domestic violence, dating violence, sexual
assault, or stalking. VAWA protections are not only available to women but are available equally to all individuals
regardless of sex, gender identity, or sexual orientation.2 The U.S. Department of Housing and Urban Development (HUD) is
the Federal agency that oversees that WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. is in
compliance with VAWA. This notice explains your rights under VAWA. A HUD-approved certification form is attached to
this notice. You can fill out this form to show that you are or have been a victim of domestic violence, dating violence,
sexual assault, or stalking, and that you wish to use your rights under VAWA.”
Protections for Applicants
If you otherwise qualify for assistance under WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO.,
you cannot be denied admission or denied assistance because you are or have been a victim of domestic violence, dating
violence, sexual assault, or stalking.
Protections for Tenants
If you are receiving assistance with WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO., you may
not be denied assistance, terminated from participation, or be evicted from your rental housing because you are or have been
a victim of domestic violence, dating violence, sexual assault, or stalking.
Also, if you or an affiliated individual of yours is or has been the victim of domestic violence, dating violence, sexual assault,
or stalking by a member of your household or any guest, you may not be denied rental assistance or occupancy rights under
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. solely on the basis of criminal activity directly
relating to that domestic violence, dating violence, sexual assault, or stalking.
1Despite the name of this law, VAWA protection is available regardless of sex, gender identity, or sexual orientation.
2Housing providers cannot discriminate on the basis of any protected characteristic, including race, color, national origin, religion, sex, familial status,
disability, or age. HUD-assisted and HUD-insured housing must be made available to all otherwise eligible individuals regardless of actual or perceived
sexual orientation, gender identity, or marital status.
P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3
Affiliated individual means your spouse, parent, brother, sister, or child, or a person to whom you stand in the place of a
parent or guardian (for example, the affiliated individual is in your care, custody, or control); or any individual, tenant, or
lawful occupant living in your household.
Removing the Abuser or Perpetrator from the Household
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may divide (bifurcate) your lease in order to
evict the individual or terminate the assistance of the individual who has engaged in criminal activity (the abuser or
perpetrator) directly relating to domestic violence, dating violence, sexual assault, or stalking.
If WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. chooses to remove the abuser or perpetrator,
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may not take away the rights of eligible
tenants to the unit or otherwise punish the remaining tenants. If the evicted abuser or perpetrator was the sole tenant to have
established eligibility for assistance under the program, WOODBURY REALTY, CO. C/O CARABETTA
MANAGEMENT, CO. must allow the tenant who is or has been a victim and other household members to remain in the
unit for a period of time, in order to establish eligibility under the program or under another HUD housing program covered
by VAWA, or, find alternative housing.
In removing the abuser or perpetrator from the household, WOODBURY REALTY, CO. C/O CARABETTA
MANAGEMENT, CO. must follow Federal, State, and local eviction procedures. In order to divide a lease, WOODBURY
REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may, but is not required to, ask you for documentation or
certification of the incidences of domestic violence, dating violence, sexual assault, or stalking.
Moving to Another Unit
Upon your request, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may permit you to move
to another unit, subject to the availability of other units, and still keep your assistance. In order to approve a request,
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may ask you to provide documentation that
you are requesting to move because of an incidence of domestic violence, dating violence, sexual assault, or stalking. If the
request is a request for emergency transfer, the housing provider may ask you to submit a written request or fill out a form
where you certify that you meet the criteria for an emergency transfer under VAWA. The criteria are:
(1) You are a victim of domestic violence, dating violence, sexual assault, or stalking. If your housing provider does not
already have documentation that you are a victim of domestic violence, dating violence, sexual assault, or stalking, your
housing provider may ask you for such documentation, as described in the documentation section below.
(2) You expressly request the emergency transfer. Your housing provider may choose to require that you submit a form,
or may accept another written or oral request.
(3) You reasonably believe you are threatened with imminent harm from further violence if you remain in your
current unit. This means you have a reason to fear that if you do not receive a transfer you would suffer violence in the very
near future. OR
You are a victim of sexual assault and the assault occurred on the premises during the 90-calendar-day period before
you request a transfer. If you are a victim of sexual assault, then in addition to qualifying for an emergency transfer
because you reasonably believe you are threatened with imminent harm from further violence if you remain in your unit, you
may qualify for an emergency transfer if the sexual assault occurred on the premises of the property from which you are
seeking your transfer, and that assault happened within the 90-calendar-day period before you expressly request the transfer.
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. will keep confidential requests for emergency
transfers by victims of domestic violence, dating violence, sexual assault, or stalking, and the location of any move by such
victims and their families.
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO.’s emergency transfer plan provides further
information on emergency transfers, and WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must
make a copy of its emergency transfer plan available to you if you ask to see it.
Documenting You Are or Have Been a Victim of Domestic Violence, Dating Violence, Sexual Assault or Stalking
P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. can, but is not required to, ask you to provide
documentation to “certify” that you are or have been a victim of domestic violence, dating violence, sexual assault, or
stalking. Such request from WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must be in
writing, and WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must give you at least 14 business
days (Saturdays, Sundays, and Federal holidays do not count) from the day you receive the request to provide the
documentation. WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may, but does not have to,
extend the deadline for the submission of documentation upon your request.
You can provide one of the following to WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. as
documentation. It is your choice which of the following to submit if WOODBURY REALTY, CO. C/O CARABETTA
MANAGEMENT, CO. asks you to provide documentation that you are or have been a victim of domestic violence, dating
violence, sexual assault, or stalking.
A complete HUD-approved certification form given to you by HP with this notice, that documents an incident of
domestic violence, dating violence, sexual assault, or stalking. The form will ask for your name, the date, time, and location
of the incident of domestic violence, dating violence, sexual assault, or stalking, and a description of the incident. The
certification form provides for including the name of the abuser or perpetrator if the name of the abuser or perpetrator is
known and is safe to provide.
A record of a Federal, State, tribal, territorial, or local law enforcement agency, court, or administrative agency that
documents the incident of domestic violence, dating violence, sexual assault, or stalking. Examples of such records include
police reports, protective orders, and restraining orders, among others.
A statement, which you must sign, along with the signature of an employee, agent, or volunteer of a victim service
provider, an attorney, a medical professional or a mental health professional (collectively, “professional”) from whom you
sought assistance in addressing domestic violence, dating violence, sexual assault, or stalking, or the effects of abuse, and
with the professional selected by you attesting under penalty of perjury that he or she believes that the incident or incidents of
domestic violence, dating violence, sexual assault, or stalking are grounds for protection.
Any other statement or evidence that WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. has
agreed to accept.
If you fail or refuse to provide one of these documents within the 14 business days, WOODBURY REALTY, CO. C/O
CARABETTA MANAGEMENT, CO. does not have to provide you with the protections contained in this notice.
If WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. receives conflicting evidence that an
incident of domestic violence, dating violence, sexual assault, or stalking has been committed (such as certification forms
from two or more members of a household each claiming to be a victim and naming one or more of the other petitioning
household members as the abuser or perpetrator), WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT,
CO. has the right to request that you provide third-party documentation within thirty 30 calendar days in order to resolve the
conflict. If you fail or refuse to provide third-party documentation where there is conflicting evidence, WOODBURY
REALTY, CO. C/O CARABETTA MANAGEMENT, CO. does not have to provide you with the protections contained in
this notice.
Confidentiality
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must keep confidential any information you
provide related to the exercise of your rights under VAWA, including the fact that you are exercising your rights under
VAWA.
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must not allow any individual administering
assistance or other services on behalf of HP (for example, employees and contractors) to have access to confidential
information unless for reasons that specifically call for these individuals to have access to this information under applicable
Federal, State, or local law.
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must not enter your information into any
shared database or disclose your information to any other entity or individual. WOODBURY REALTY, CO. C/O
CARABETTA MANAGEMENT, CO. however, may disclose the information provided if:
P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3
You give written permission to WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. to release
the information on a time limited basis.
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. needs to use the information in an eviction
or termination proceeding, such as to evict your abuser or perpetrator or terminate your abuser or perpetrator from assistance
under this program.
A law requires WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. or your landlord to release
the information.
VAWA does not limit WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO.’s duty to honor court
orders about access to or control of the property. This includes orders issued to protect a victim and orders dividing property
among household members in cases where a family breaks up.
Reasons a Tenant Eligible for Occupancy Rights under VAWA May Be Evicted or Assistance May Be Terminated
You can be evicted and your assistance can be terminated for serious or repeated lease violations that are not related to
domestic violence, dating violence, sexual assault, or stalking committed against you. However, WOODBURY REALTY,
CO. C/O CARABETTA MANAGEMENT, CO. cannot hold tenants who have been victims of domestic violence, dating
violence, sexual assault, or stalking to a more demanding set of rules than it applies to tenants who have not been victims of
domestic violence, dating violence, sexual assault, or stalking.
The protections described in this notice might not apply, and you could be evicted and your assistance terminated, if
WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. can demonstrate that not evicting you or
terminating your assistance would present a real physical danger that:
1) Would occur within an immediate time frame, and
2) Could result in death or serious bodily harm to other tenants or those who work on the property.
If WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. can demonstrate the above, WOODBURY
REALTY, CO. C/O CARABETTA MANAGEMENT, CO. should only terminate your assistance or evict you if there are
no other actions that could be taken to reduce or eliminate the threat.
Other Laws
VAWA does not replace any Federal, State, or local law that provides greater protection for victims of domestic violence,
dating violence, sexual assault, or stalking. You may be entitled to additional housing protections for victims of domestic
violence, dating violence, sexual assault, or stalking under other Federal laws, as well as under State and local laws.
Non-Compliance with The Requirements of This Notice
You may report a covered housing provider’s violations of these rights and seek additional assistance, if needed, by
contacting or filing a complaint with:
Navigate Affordable Housing Partners
1827 First Avenue North, Ste. 100, Birmingham, AL 35203, Toll free fax: 1.888.723.8932
http://www.navigatehousing.com
or
Department of Housing and Urban Development
One Corporate Center, 19th floor, Hartford, CT 06103
Phone (860) 240-4800; Fax (860) 240-4850
For Additional Information
You may view a copy of HUD’s final VAWA rule at: https://www.gpo.gov/fdsys/pkg/FR-2016-11-16/pdf/2016-25888.pdf
Additionally, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must make a copy of HUD’s
VAWA regulations available to you if you ask to see them. For questions regarding VAWA, please contact:
Navigate Affordable Housing Partners
1827 First Avenue North, Ste. 100, Birmingham, AL 35203, Toll free fax: 1.888.723.8932
http://www.navigatehousing.com OR
Department of Housing and Urban Development
One Corporate Center, 19th floor, Hartford, CT 06103
P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3
Phone (860) 240-4800; Fax (860) 240-4850
For help regarding an abusive relationship, you may call the National Domestic Violence Hotline at 1-800-799-7233 or, for
persons with hearing impairments, 1-800-787-3224 (TTY).
For tenants who are or have been victims of stalking seeking help may visit the National Center for Victims of Crime’s
Stalking Resource Center at https://www.victimsofcrime.org/our-programs/stalking-resource-center.
For help regarding sexual assault, you may contact: Connecticut Alliance to End Sexual Violence Statewide 24-Hour Toll
Free: 1-888-999-5545 English or 1-888-568-8332 Español
Victims of stalking seeking help in Connecticut may contact: http://www.victimsofcrime.org/our-programs/stalking-resource-
center/stalking-laws/criminal-stalking-laws-by-state/connecticut
Attachment: Certification form HUD-5382 (see below)
CERTIFICATION OF U.S. Department of Housing OMB Approval No. 2577-0286
DOMESTIC VIOLENCE, and Urban Development Exp. 06/30/2017
DATING VIOLENCE,
SEXUAL ASSAULT, OR STALKING,
AND ALTERNATE DOCUMENTATION
Purpose of Form: The Violence Against Women Act (“VAWA”) protects applicants, tenants, and program participants in
certain HUD programs from being evicted, denied housing assistance, or terminated from housing assistance based on acts of
domestic violence, dating violence, sexual assault, or stalking against them. Despite the name of this law, VAWA protection
is available to victims of domestic violence, dating violence, sexual assault, and stalking, regardless of sex, gender identity,
or sexual orientation.
Use of This Optional Form: If you are seeking VAWA protections from your housing provider, your housing provider may
give you a written request that asks you to submit documentation about the incident or incidents of domestic violence, dating
violence, sexual assault, or stalking.
In response to this request, you or someone on your behalf may complete this optional form and submit it to your housing
provider, or you may submit one of the following types of third-party documentation:
(1) A document signed by you and an employee, agent, or volunteer of a victim service provider, an attorney, or medical
professional, or a mental health professional (collectively, “professional”) from whom you have sought assistance relating to
domestic violence, dating violence, sexual assault, or stalking, or the effects of abuse. The document must specify, under
penalty of perjury, that the professional believes the incident or incidents of domestic violence, dating violence, sexual
assault, or stalking occurred and meet the definition of “domestic violence,” “dating violence,” “sexual assault,” or “stalking”
in HUD’s regulations at 24 CFR 5.2003.
(2) A record of a Federal, State, tribal, territorial or local law enforcement agency, court, or administrative agency; or
(3) At the discretion of the housing provider, a statement or other evidence provided by the applicant or tenant.
Submission of Documentation: The time period to submit documentation is 14 business days from the date that you receive
a written request from your housing provider asking that you provide documentation of the occurrence of domestic violence,
dating violence, sexual assault, or stalking. Your housing provider may, but is not required to, extend the time period to
submit the documentation, if you request an extension of the time period. If the requested information is not received within
14 business days of when you received the request for the documentation, or any extension of the date provided by your
housing provider, your housing provider does not need to grant you any of the VAWA protections. Distribution or issuance
of this form does not serve as a written request for certification.
P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3
Confidentiality: All information provided to your housing provider concerning the incident(s) of domestic violence, dating
violence, sexual assault, or stalking shall be kept confidential and such details shall not be entered into any shared database.
Employees of your housing provider are not to have access to these details unless to grant or deny VAWA protections to you,
and such employees may not disclose this information to any other entity or individual, except to the extent that disclosure is:
(i) consented to by you in writing in a time-limited release; (ii) required for use in an eviction proceeding or hearing
regarding termination of assistance; or (iii) otherwise required by applicable law.
TO BE COMPLETED BY OR ON BEHALF OF THE VICTIM OF DOMESTIC VIOLENCE, DATING
VIOLENCE, SEXUAL ASSAULT, OR STALKING
1. Date the written request is received by victim: ___________________________________________________
2. Name of victim: _____________________________________________________________________________
3. Your name (if different from victim’s):__________________________________________________________
4. Name(s) of other family member(s) listed on the lease:_____________________________________________
5. Residence of victim: _________________________________________________________________________
6. Name of the accused perpetrator (if known and can be safely disclosed):______________________________
7. Relationship of the accused perpetrator to the victim:_____________________________________________
8. Date(s) and times(s) of incident(s) (if known):____________________________________________________
10. Location of incident(s):______________________________________________________________________
In your own words, briefly describe the incident(s):
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
This is to certify that the information provided on this form is true and correct to the best of my knowledge and recollection,
and that the individual named above in Item 2 is or has been a victim of domestic violence, dating violence, sexual assault, or
stalking. I acknowledge that submission of false information could jeopardize program eligibility and could be the basis for
denial of admission, termination of assistance, or eviction.
Signature __________________________________Signed on (Date) _______________________
Public Reporting Burden: The public reporting burden for this collection of information is estimated to average 1 hour per
response. This includes the time for collecting, reviewing, and reporting the data. The information provided is to be used by
the housing provider to request certification that the applicant or tenant is a victim of domestic violence, dating violence,
sexual assault, or stalking. The information is subject to the confidentiality requirements of VAWA. This agency may not
collect this information, and you are not required to complete this form, unless it displays a currently valid Office of
Management and Budget control number.
P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3
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Joseph Smith 195 Woodbury Circle, Middletown, CT 06457 RE: NOTICE TO QUIT POSSESSION Woodbury Realty, Co. hereby gives you notice that you are to quit possession of the premises now occupied by you at 195 Woodbury Circle, Middletown, CT 06457 on or before midnight of April 17, 2023 (“Quit Date”). Your lease will terminate on April 18, 2023 (“Lease Termination Date”). Woodbury Realty, Co.’s reason is as follows: Nonpayment of rent - February 2023, in the amount of $1,050.00; March 2023, in the amount of $1,050.00. The balance on the rent account as of the date of this Notice is $2,167.24. Any payments tendered after the date specified to quit possession or occupancy, or the date of the completion of the pretermination process if that is later, will be accepted for use and occupancy only and not for rent, with full reservation of rights to continue with the eviction action. You have ten (10) calendar days, beginning upon the service of this Notice, within which to discuss the termination of your tenancy with Woodbury Realty, Co., 220 Newfield Street, Middletown, CT 06457, (860)344-9107. If you are disabled, you have the right to request reasonable accommodations to participate in the hearing process. If you do not voluntarily vacate the premises on or before the above-termination date, it is Woodbury Realty, Co.’s intention to commence eviction proceedings against you to recover possession of the premises. If such an eviction proceeding is commenced, you will receive notice and be given an opportunity to present a defense. Attached you will find the Right to Counsel Notice in English and Spanish, HUD information for tenants, and the Violence Against Women Act information. Dated at West Hartford, Connecticut, March 14, 2023. Woodbury Realty, Co. Matthew J. Fratamico, Esq. P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3 P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3 HUD Information for Tenants The U.S. Department of Treasury’s (“Treasury”) Emergency Rental Assistance (ERA) program makes funding available to assist households that are unable to pay rent or utilities. The funds were provided directly to states, U.S. territories, local governments, and (in the case of the first program, ERA1) to Indian tribes or Tribally Designated Housing Entities, as applicable, and the Department of Hawaiian Home Lands. Grantees use the funds to assist eligible households through existing or newly created rental assistance programs. In guidance and FAQs, Treasury advised that participants in HUD-assisted rental programs (including the Housing Choice Voucher (HCV), Public Housing, or Project-Based Rental Assistance programs) are eligible for the ERA program and may receive assistance for the tenant-owed portion of rent or utilities that is not subsidized. In FAQs for PHAs and HCV landlords, PIH clarified that this assistance can include rent arrearages and utilities owed over the utility allowance. The FAQs include additional guidance on interim reexaminations, income calculations, and additional considerations for private landlords participating in the HCV program. To learn more about how to apply for ERA go to: https://portal.ct.gov/DOH/DOH/Programs/UniteCT or 1-844 UniteCT (1- 844-864-8328). State and local ERA grantees can also be accessed from Treasury’s website using the link “Find rental assistance in your area.” WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. Notice of Occupancy Rights under the Violence Against Women Act1 To all Tenants and Applicants The Violence Against Women Act (VAWA) provides protections for victims of domestic violence, dating violence, sexual assault, or stalking. VAWA protections are not only available to women but are available equally to all individuals regardless of sex, gender identity, or sexual orientation.2 The U.S. Department of Housing and Urban Development (HUD) is the Federal agency that oversees that WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. is in compliance with VAWA. This notice explains your rights under VAWA. A HUD-approved certification form is attached to this notice. You can fill out this form to show that you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking, and that you wish to use your rights under VAWA.” Protections for Applicants If you otherwise qualify for assistance under WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO., you cannot be denied admission or denied assistance because you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking. Protections for Tenants If you are receiving assistance with WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO., you may not be denied assistance, terminated from participation, or be evicted from your rental housing because you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking. Also, if you or an affiliated individual of yours is or has been the victim of domestic violence, dating violence, sexual assault, or stalking by a member of your household or any guest, you may not be denied rental assistance or occupancy rights under WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. solely on the basis of criminal activity directly relating to that domestic violence, dating violence, sexual assault, or stalking. 1Despite the name of this law, VAWA protection is available regardless of sex, gender identity, or sexual orientation. 2Housing providers cannot discriminate on the basis of any protected characteristic, including race, color, national origin, religion, sex, familial status, disability, or age. HUD-assisted and HUD-insured housing must be made available to all otherwise eligible individuals regardless of actual or perceived sexual orientation, gender identity, or marital status. P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3 Affiliated individual means your spouse, parent, brother, sister, or child, or a person to whom you stand in the place of a parent or guardian (for example, the affiliated individual is in your care, custody, or control); or any individual, tenant, or lawful occupant living in your household. Removing the Abuser or Perpetrator from the Household WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may divide (bifurcate) your lease in order to evict the individual or terminate the assistance of the individual who has engaged in criminal activity (the abuser or perpetrator) directly relating to domestic violence, dating violence, sexual assault, or stalking. If WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. chooses to remove the abuser or perpetrator, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may not take away the rights of eligible tenants to the unit or otherwise punish the remaining tenants. If the evicted abuser or perpetrator was the sole tenant to have established eligibility for assistance under the program, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must allow the tenant who is or has been a victim and other household members to remain in the unit for a period of time, in order to establish eligibility under the program or under another HUD housing program covered by VAWA, or, find alternative housing. In removing the abuser or perpetrator from the household, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must follow Federal, State, and local eviction procedures. In order to divide a lease, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may, but is not required to, ask you for documentation or certification of the incidences of domestic violence, dating violence, sexual assault, or stalking. Moving to Another Unit Upon your request, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may permit you to move to another unit, subject to the availability of other units, and still keep your assistance. In order to approve a request, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may ask you to provide documentation that you are requesting to move because of an incidence of domestic violence, dating violence, sexual assault, or stalking. If the request is a request for emergency transfer, the housing provider may ask you to submit a written request or fill out a form where you certify that you meet the criteria for an emergency transfer under VAWA. The criteria are: (1) You are a victim of domestic violence, dating violence, sexual assault, or stalking. If your housing provider does not already have documentation that you are a victim of domestic violence, dating violence, sexual assault, or stalking, your housing provider may ask you for such documentation, as described in the documentation section below. (2) You expressly request the emergency transfer. Your housing provider may choose to require that you submit a form, or may accept another written or oral request. (3) You reasonably believe you are threatened with imminent harm from further violence if you remain in your current unit. This means you have a reason to fear that if you do not receive a transfer you would suffer violence in the very near future. OR You are a victim of sexual assault and the assault occurred on the premises during the 90-calendar-day period before you request a transfer. If you are a victim of sexual assault, then in addition to qualifying for an emergency transfer because you reasonably believe you are threatened with imminent harm from further violence if you remain in your unit, you may qualify for an emergency transfer if the sexual assault occurred on the premises of the property from which you are seeking your transfer, and that assault happened within the 90-calendar-day period before you expressly request the transfer. WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. will keep confidential requests for emergency transfers by victims of domestic violence, dating violence, sexual assault, or stalking, and the location of any move by such victims and their families. WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO.’s emergency transfer plan provides further information on emergency transfers, and WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must make a copy of its emergency transfer plan available to you if you ask to see it. Documenting You Are or Have Been a Victim of Domestic Violence, Dating Violence, Sexual Assault or Stalking P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3 WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. can, but is not required to, ask you to provide documentation to “certify” that you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking. Such request from WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must be in writing, and WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must give you at least 14 business days (Saturdays, Sundays, and Federal holidays do not count) from the day you receive the request to provide the documentation. WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. may, but does not have to, extend the deadline for the submission of documentation upon your request. You can provide one of the following to WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. as documentation. It is your choice which of the following to submit if WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. asks you to provide documentation that you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking. A complete HUD-approved certification form given to you by HP with this notice, that documents an incident of domestic violence, dating violence, sexual assault, or stalking. The form will ask for your name, the date, time, and location of the incident of domestic violence, dating violence, sexual assault, or stalking, and a description of the incident. The certification form provides for including the name of the abuser or perpetrator if the name of the abuser or perpetrator is known and is safe to provide. A record of a Federal, State, tribal, territorial, or local law enforcement agency, court, or administrative agency that documents the incident of domestic violence, dating violence, sexual assault, or stalking. Examples of such records include police reports, protective orders, and restraining orders, among others. A statement, which you must sign, along with the signature of an employee, agent, or volunteer of a victim service provider, an attorney, a medical professional or a mental health professional (collectively, “professional”) from whom you sought assistance in addressing domestic violence, dating violence, sexual assault, or stalking, or the effects of abuse, and with the professional selected by you attesting under penalty of perjury that he or she believes that the incident or incidents of domestic violence, dating violence, sexual assault, or stalking are grounds for protection. Any other statement or evidence that WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. has agreed to accept. If you fail or refuse to provide one of these documents within the 14 business days, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. does not have to provide you with the protections contained in this notice. If WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. receives conflicting evidence that an incident of domestic violence, dating violence, sexual assault, or stalking has been committed (such as certification forms from two or more members of a household each claiming to be a victim and naming one or more of the other petitioning household members as the abuser or perpetrator), WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. has the right to request that you provide third-party documentation within thirty 30 calendar days in order to resolve the conflict. If you fail or refuse to provide third-party documentation where there is conflicting evidence, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. does not have to provide you with the protections contained in this notice. Confidentiality WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must keep confidential any information you provide related to the exercise of your rights under VAWA, including the fact that you are exercising your rights under VAWA. WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must not allow any individual administering assistance or other services on behalf of HP (for example, employees and contractors) to have access to confidential information unless for reasons that specifically call for these individuals to have access to this information under applicable Federal, State, or local law. WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must not enter your information into any shared database or disclose your information to any other entity or individual. WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. however, may disclose the information provided if: P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3 You give written permission to WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. to release the information on a time limited basis. WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. needs to use the information in an eviction or termination proceeding, such as to evict your abuser or perpetrator or terminate your abuser or perpetrator from assistance under this program. A law requires WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. or your landlord to release the information. VAWA does not limit WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO.’s duty to honor court orders about access to or control of the property. This includes orders issued to protect a victim and orders dividing property among household members in cases where a family breaks up. Reasons a Tenant Eligible for Occupancy Rights under VAWA May Be Evicted or Assistance May Be Terminated You can be evicted and your assistance can be terminated for serious or repeated lease violations that are not related to domestic violence, dating violence, sexual assault, or stalking committed against you. However, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. cannot hold tenants who have been victims of domestic violence, dating violence, sexual assault, or stalking to a more demanding set of rules than it applies to tenants who have not been victims of domestic violence, dating violence, sexual assault, or stalking. The protections described in this notice might not apply, and you could be evicted and your assistance terminated, if WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. can demonstrate that not evicting you or terminating your assistance would present a real physical danger that: 1) Would occur within an immediate time frame, and 2) Could result in death or serious bodily harm to other tenants or those who work on the property. If WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. can demonstrate the above, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. should only terminate your assistance or evict you if there are no other actions that could be taken to reduce or eliminate the threat. Other Laws VAWA does not replace any Federal, State, or local law that provides greater protection for victims of domestic violence, dating violence, sexual assault, or stalking. You may be entitled to additional housing protections for victims of domestic violence, dating violence, sexual assault, or stalking under other Federal laws, as well as under State and local laws. Non-Compliance with The Requirements of This Notice You may report a covered housing provider’s violations of these rights and seek additional assistance, if needed, by contacting or filing a complaint with: Navigate Affordable Housing Partners 1827 First Avenue North, Ste. 100, Birmingham, AL 35203, Toll free fax: 1.888.723.8932 http://www.navigatehousing.com or Department of Housing and Urban Development One Corporate Center, 19th floor, Hartford, CT 06103 Phone (860) 240-4800; Fax (860) 240-4850 For Additional Information You may view a copy of HUD’s final VAWA rule at: https://www.gpo.gov/fdsys/pkg/FR-2016-11-16/pdf/2016-25888.pdf Additionally, WOODBURY REALTY, CO. C/O CARABETTA MANAGEMENT, CO. must make a copy of HUD’s VAWA regulations available to you if you ask to see them. For questions regarding VAWA, please contact: Navigate Affordable Housing Partners 1827 First Avenue North, Ste. 100, Birmingham, AL 35203, Toll free fax: 1.888.723.8932 http://www.navigatehousing.com OR Department of Housing and Urban Development One Corporate Center, 19th floor, Hartford, CT 06103 P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3 Phone (860) 240-4800; Fax (860) 240-4850 For help regarding an abusive relationship, you may call the National Domestic Violence Hotline at 1-800-799-7233 or, for persons with hearing impairments, 1-800-787-3224 (TTY). For tenants who are or have been victims of stalking seeking help may visit the National Center for Victims of Crime’s Stalking Resource Center at https://www.victimsofcrime.org/our-programs/stalking-resource-center. For help regarding sexual assault, you may contact: Connecticut Alliance to End Sexual Violence Statewide 24-Hour Toll Free: 1-888-999-5545 English or 1-888-568-8332 Español Victims of stalking seeking help in Connecticut may contact: http://www.victimsofcrime.org/our-programs/stalking-resource- center/stalking-laws/criminal-stalking-laws-by-state/connecticut Attachment: Certification form HUD-5382 (see below) CERTIFICATION OF U.S. Department of Housing OMB Approval No. 2577-0286 DOMESTIC VIOLENCE, and Urban Development Exp. 06/30/2017 DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING, AND ALTERNATE DOCUMENTATION Purpose of Form: The Violence Against Women Act (“VAWA”) protects applicants, tenants, and program participants in certain HUD programs from being evicted, denied housing assistance, or terminated from housing assistance based on acts of domestic violence, dating violence, sexual assault, or stalking against them. Despite the name of this law, VAWA protection is available to victims of domestic violence, dating violence, sexual assault, and stalking, regardless of sex, gender identity, or sexual orientation. Use of This Optional Form: If you are seeking VAWA protections from your housing provider, your housing provider may give you a written request that asks you to submit documentation about the incident or incidents of domestic violence, dating violence, sexual assault, or stalking. In response to this request, you or someone on your behalf may complete this optional form and submit it to your housing provider, or you may submit one of the following types of third-party documentation: (1) A document signed by you and an employee, agent, or volunteer of a victim service provider, an attorney, or medical professional, or a mental health professional (collectively, “professional”) from whom you have sought assistance relating to domestic violence, dating violence, sexual assault, or stalking, or the effects of abuse. The document must specify, under penalty of perjury, that the professional believes the incident or incidents of domestic violence, dating violence, sexual assault, or stalking occurred and meet the definition of “domestic violence,” “dating violence,” “sexual assault,” or “stalking” in HUD’s regulations at 24 CFR 5.2003. (2) A record of a Federal, State, tribal, territorial or local law enforcement agency, court, or administrative agency; or (3) At the discretion of the housing provider, a statement or other evidence provided by the applicant or tenant. Submission of Documentation: The time period to submit documentation is 14 business days from the date that you receive a written request from your housing provider asking that you provide documentation of the occurrence of domestic violence, dating violence, sexual assault, or stalking. Your housing provider may, but is not required to, extend the time period to submit the documentation, if you request an extension of the time period. If the requested information is not received within 14 business days of when you received the request for the documentation, or any extension of the date provided by your housing provider, your housing provider does not need to grant you any of the VAWA protections. Distribution or issuance of this form does not serve as a written request for certification. P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3 Confidentiality: All information provided to your housing provider concerning the incident(s) of domestic violence, dating violence, sexual assault, or stalking shall be kept confidential and such details shall not be entered into any shared database. Employees of your housing provider are not to have access to these details unless to grant or deny VAWA protections to you, and such employees may not disclose this information to any other entity or individual, except to the extent that disclosure is: (i) consented to by you in writing in a time-limited release; (ii) required for use in an eviction proceeding or hearing regarding termination of assistance; or (iii) otherwise required by applicable law. TO BE COMPLETED BY OR ON BEHALF OF THE VICTIM OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, OR STALKING 1. Date the written request is received by victim: ___________________________________________________ 2. Name of victim: _____________________________________________________________________________ 3. Your name (if different from victim’s):__________________________________________________________ 4. Name(s) of other family member(s) listed on the lease:_____________________________________________ 5. Residence of victim: _________________________________________________________________________ 6. Name of the accused perpetrator (if known and can be safely disclosed):______________________________ 7. Relationship of the accused perpetrator to the victim:_____________________________________________ 8. Date(s) and times(s) of incident(s) (if known):____________________________________________________ 10. Location of incident(s):______________________________________________________________________ In your own words, briefly describe the incident(s): _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ This is to certify that the information provided on this form is true and correct to the best of my knowledge and recollection, and that the individual named above in Item 2 is or has been a victim of domestic violence, dating violence, sexual assault, or stalking. I acknowledge that submission of false information could jeopardize program eligibility and could be the basis for denial of admission, termination of assistance, or eviction. Signature __________________________________Signed on (Date) _______________________ Public Reporting Burden: The public reporting burden for this collection of information is estimated to average 1 hour per response. This includes the time for collecting, reviewing, and reporting the data. The information provided is to be used by the housing provider to request certification that the applicant or tenant is a victim of domestic violence, dating violence, sexual assault, or stalking. The information is subject to the confidentiality requirements of VAWA. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid Office of Management and Budget control number. P.O. BOX: 271376, WEST HARTFORD, CT 06127 | (860)333-5677 EX. 3