Section 17b-802-4 - Elements of ApplicationA completed application requesting the equivalent of up to two months' rent as a security deposit guarantee, or the equivalent of up to one month's rent as a security deposit grant and up to one month's rent as a security deposit guarantee shall include:
(1) A completed application form signed by the applicant. The application form shall stipulate that the applicant agrees to notify the department no more than ten days after vacating the dwelling unit for which payment is being requested;(2) Any documents that the department determines are necessary to verify eligibility;(3) A written agreement between the department and the prospective landlord that shall include one or both of the following: (A) A written security deposit guarantee agreement signed by the prospective landlord. Such agreement shall stipulate that the department shall pay the landlord for any damages suffered by the landlord due to the tenant's failure to comply with the tenant's obligations, as such obligations are defined in section 47a-21 of the Connecticut General Statutes, provided the amount of any such payment shall not exceed the amount of the security deposit guarantee; or(B) In the case of a security deposit grant, a waiver form completed and signed by the prospective landlord. The waiver form shall stipulate that if the tenant for whom a security deposit payment is made vacates the dwelling unit, any return of the security deposit or accrued interest to which the tenant is entitled shall be paid directly to the department.Conn. Agencies Regs. § 17b-802-4
Adopted effective May 24, 2004; Amended June 28, 2013