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Dakota County CDA New Admissions Informal Review Request Form (Housing Choice Voucher Program) and HUD Form 5382, Certification of Domestic Violence, Dating Violence, Sexual Assault, or Stalking, and Alternate Documentation, page 1
Moderate · 56/100Form Complexity Index

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What this form asks for

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This packet includes (1) a Dakota County Community Development Agency (CDA) New Admissions Informal Review Request Form used by applicants to request an informal review after a Housing Choice Voucher application denial, and (2) HUD Form 5382, an optional certification used to document eligibility for protections under the Violence Against Women Act (VAWA). The informal review request is time-sensitive (typically due within 10 business days of the denial letter) and is the applicant’s opportunity to explain the disqualifying issue and provide evidence (e.g., court records, proof of completed probation/treatment, or other documentation). HUD-5382 is important when criminal activity cited in a denial is directly related to domestic violence, dating violence, sexual assault, or stalking committed against the applicant, because VAWA may prevent denial or loss of assistance on that basis and requires confidentiality of submitted information.
Fillable fields46
Pages11
Sections15
Questions that depend on earlier answers2
Form Complexity IndexModerate, 56/100

The AI checks your answers before you download

16 checks built for this form, so a wrong date or a missing answer is caught before anyone else sees it.

Validates Informal Review Request Submission Deadline (10 Business Days)

Checks that the informal review request form is received within ten (10) business days of the denial letter date (e.g., letter dated 1/30/2026). This is critical because the letter states the request must be made within that window to be considered. If the request is late, the system should flag it as untimely, prevent routing for review (or route to an exception workflow), and generate a notice explaining the missed deadline.

Ensures Head of Household Name is Present and Properly Formatted

Verifies the Head of Household Name field is completed and contains a plausible full name (at minimum first and last name), not just initials or a single token. This matters for identity matching to the original application and for correct case association. If validation fails, the submission should be rejected or held in a “missing identity” queue and the applicant prompted to correct the name.

Validates Social Security Number (SSN) Presence and Format

Checks that the Social Security Number field is completed and matches an accepted SSN format (e.g., 9 digits with optional dashes) and is not an obviously invalid value (all zeros, 123456789, etc.). SSN is typically required to match the request to the correct household record and avoid misfiling. If invalid or missing, the system should block automated matching and require manual verification or resubmission.

Validates Address Completeness (Street, City, State, ZIP)

Ensures the address fields on the request form include street address (including unit number if applicable), city, state, and ZIP code. This is important for correspondence, jurisdictional checks, and matching to the existing file (the letter shows an address with unit “#405” and MN 55118). If incomplete, the system should flag the record and require completion before generating mailings or final decisions.

Validates State Code and ZIP Code Format/Consistency

Checks that the state is a valid two-letter USPS abbreviation (e.g., MN) and that the ZIP code is 5 digits (or ZIP+4 if allowed). Also validates that the ZIP is consistent with the state when possible (e.g., MN ZIP ranges). If the state/ZIP is malformed or inconsistent, the system should prevent outbound mail generation and request correction.

Validates Phone Number Formats and Requires at Least One Contact Number

Validates Home Phone and Work/Cell Phone fields for acceptable formats (10 digits with optional punctuation) and ensures at least one reachable phone number is provided. This matters for follow-up questions, scheduling, and reducing processing delays. If both are missing or invalid, the submission should be flagged and the applicant prompted to provide a valid contact number.

And 10 more checks
  • Requires Selection of Denial Reason Category (Criminal/Drug, Fraud, Other, Misrepresentation)
  • Requires Narrative Explanation for Selected Denial Category
  • Validates Misrepresentation Explanation When Misrepresentation is Selected
  • Attachment Requirement Check for Criminal/Drug Denial Responses
  • Attachment Requirement Check for Fraud Denial Responses
  • Attachment Requirement Check for 'Other' Denial Responses
  • VAWA Certification Form Completeness (HUD-5382) When VAWA is Claimed
  • Validates HUD-5382 Date Fields and Logical Order
  • Ensures Consistency Between Victim Name and Applicant/Head of Household (When Applicable)
  • Validates Required Signature Presence on Submitted Forms

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How to Fill Out Dakota County CDA Informal Review Request / HUD-5382 Online for Free in 2026

What the AI walks you through.

  1. Confirm deadlines and scope: note the denial date and ensure you are submitting the Informal Review Request within the stated 10 business days; gather any deadline for VAWA documentation (often 14 business days after a written request).
  2. Complete household information on the Dakota County CDA Informal Review Request Form (head of household name, SSN, address, city/state/zip, and phone numbers).
  3. Select the denial reason category (e.g., Criminal or Drug Activity, Fraudulent Activity, Misrepresentation, or Other) and write a clear explanation of the circumstances, including dates, outcomes, and why you believe the denial should be reconsidered.
  4. Upload/attach supporting documents that match the denial reason (e.g., police reports, court dispositions, proof of probation completion, treatment completion, letters of reference, or other relevant records).
  5. If applicable, indicate that you are requesting consideration of special circumstances as a reasonable accommodation for a disability and attach documentation showing the nexus between the disability and the accommodation requested.
  6. If applicable under VAWA, complete HUD Form 5382 with incident details (victim name, residence, perpetrator if safe to disclose, relationship, dates/times, location, and narrative description) and sign/date; attach third-party documentation if available (professional statement, police/court records, etc.).
  7. Review for completeness, keep copies of everything submitted, and submit the form and attachments to Dakota County CDA—New Admissions at the address provided (or via the CDA’s accepted submission method) and monitor for the written decision.

Common Mistakes in Completing Dakota County CDA Informal Review Request / HUD-5382

The ones the AI is built to catch.

Missing the 10-business-day informal review deadline
Applicants often assume they have 10 calendar days, wait for a weekend/holiday to pass, or delay while gathering records. If the request is not submitted within ten (10) business days of the letter date, the CDA may close the file and proceed with the denial without considering the applicant’s explanation. To avoid this, submit the request form immediately (even if some documents will follow) and confirm the agency’s definition of “business day” and the exact due date.
Submitting the request without all supporting documentation
People frequently write a narrative but forget to attach police reports, court dispositions, probation completion, or treatment completion documents referenced by the form. The letter states the informal review does not include a meeting and that information not provided at the time of the request may not be considered, which can severely weaken the review. To avoid this, attach a complete packet: court outcomes (not just charges), proof of compliance/completion, and any mitigating evidence, and label each attachment clearly.
Leaving key household identifiers blank (SSN, phone numbers, full address)
The Household Information section includes Social Security Number and contact numbers, which applicants sometimes omit due to privacy concerns or because they assume the CDA already has it. Missing identifiers can delay matching the request to the correct file or prevent staff from contacting the applicant for clarifications, risking an incomplete review. To avoid this, fill in SSN (as required by the form), current mailing address, and at least one reliable phone number, and ensure they match the application record.
Not explaining the disqualifying activity in a specific, case-linked way
Applicants often provide general statements (e.g., “I’ve changed” or “it wasn’t me”) without addressing the exact denial reasons: pattern of criminal activity over 10 years, threats to safety, or violent criminal activity as defined by HUD. Vague explanations make it hard for reviewers to connect the response to the cited criteria and can result in the denial being upheld. To avoid this, respond point-by-point to the stated grounds, include dates, outcomes, rehabilitation steps, and why the cited standard should not apply based on the facts.
Attaching the wrong type of records (charges only, not dispositions/outcomes)
A common error is submitting arrest records or charge sheets without final court dispositions, expungement orders, dismissal documentation, or proof of sentence completion. Without outcomes, the file may still appear unresolved or more serious than it is, which can harm eligibility determinations. To avoid this, request certified court disposition records for each incident and include documentation showing completion of probation, diversion, or treatment when applicable.
Confusing the denial reason category and filling the wrong section (fraud/misrepresentation/other)
The form has separate areas for Criminal or Drug Activity, Fraudulent Activity, Other, and Misrepresentation, and applicants sometimes write their explanation in the wrong box or leave the relevant section blank. This can cause reviewers to miss key information or treat the response as nonresponsive to the denial basis. To avoid this, place the main narrative under the correct category (here, criminal/drug activity unless the denial letter states otherwise) and use the other sections only if they truly apply.
Failing to request a reasonable accommodation properly (no nexus documentation)
Applicants may mention a disability or special circumstances but do not provide documentation showing the nexus between the disability and the accommodation requested, as the letter requires. Without that nexus, the CDA may be unable to consider the request as a reasonable accommodation and will review the case under standard criteria only. To avoid this, clearly state the accommodation being requested and include supporting documentation from a qualified source explaining how the disability relates to the circumstances and why the accommodation is needed.
Not identifying VAWA-related circumstances or not submitting the required VAWA documentation
Some applicants who are victims of domestic violence, dating violence, sexual assault, or stalking do not note this on the informal review request or assume the CDA will infer it from the narrative. If VAWA protections are relevant and not raised with appropriate documentation (HUD-5382, police/court records, or a qualified professional statement), the CDA may not apply those protections. To avoid this, explicitly state that VAWA applies, request the protections, and submit the HUD-5382 or acceptable third-party documentation within the required timeframe if asked.
Incomplete or inconsistent HUD-5382 certification form entries
When using HUD-5382, people often leave critical fields blank (date request received, incident dates/times, location, perpetrator relationship) or provide inconsistent details across the narrative and attachments. Incomplete or conflicting information can trigger follow-up requests, delays, or reduced credibility, and in some cases may lead to denial of VAWA protections if documentation requirements are not met. To avoid this, complete every applicable line, use “unknown” only when truly unknown, and ensure dates/locations match any police or court records.
Forgetting to sign and date the request/certification forms
Unsigned or undated forms are one of the most frequent administrative errors, especially when applicants focus on attachments and narratives. Missing signatures can render the submission invalid or require resubmission, which is risky given strict deadlines. To avoid this, do a final checklist before mailing/delivering: signature and date on the informal review request form and, if used, signature and date on HUD-5382.
Sending the packet to the wrong place or using an unreliable delivery method
Applicants sometimes mail to a general CDA address, omit “NEW ADMISSIONS,” or rely on last-minute mailing without proof of delivery. If the packet arrives late or is misrouted, it may be treated as untimely and the file may be closed. To avoid this, send to the exact address listed (Dakota County CDA—NEW ADMISSIONS, 1228 Town Centre Drive, Eagan, MN 55123), keep copies, and use a trackable method (certified mail/receipt, courier, or confirmed drop-off if available).

Frequently Asked Questions About Dakota County CDA Informal Review Request / HUD-5382

 

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How complex is Dakota County CDA Informal Review Request / HUD-5382 to fill out?
Dakota County CDA Informal Review Request / HUD-5382 has a Form Complexity Index of 56 out of 100, in the moderate tier: 46 fillable fields across 11 pages. Instafill.ai's AI fills it in under a minute, with every field there for you to review before you download.
What is this letter and form for?
This is a notice that your Housing Choice Voucher (Section 8) application was denied and includes a “New Admissions Informal Review Request Form” you can use to ask Dakota County CDA to review the denial.
Why was my Housing Choice Voucher application denied?
The letter says the denial is based on eligibility criteria related to criminal and/or drug activity under the Dakota County CDA Housing Choice Voucher Administrative Plan, including activity within the most recent 10 years that may threaten safety or property.
Who should submit the Informal Review Request Form?
The head of household (the applicant listed on the letter) should complete and submit the form, including any explanation and documents that support why the denial should be reconsidered.
What is the deadline to request an informal review?
You must submit the informal review request within ten (10) business days of the date of the denial letter.
Is there a meeting or hearing for the informal review?
No. The letter states the informal review does not include a meeting, so you must include all explanations and supporting documentation when you submit your request.
Where do I send or return the completed Informal Review Request Form?
Return it to: Dakota County CDA — NEW ADMISSIONS, 1228 Town Centre Drive, Eagan, MN 55123.
What documents should I attach if the denial is for criminal or drug activity?
Attach copies of police reports, court documents, and (if applicable) proof of successful completion of probation or drug treatment, plus any other documents that help explain or clarify the situation.
What should I write in the section that says “Please use the area provided to explain the disqualifying activity”?
Explain the circumstances, dates, outcomes, and why you believe you meet eligibility requirements now (for example, charges dismissed, case resolved, rehabilitation steps, time since incident), and reference any documents you are attaching.
What if my denial was for misrepresentation—what do I need to provide?
Use the “Misrepresentation” section to explain what information was withheld or incorrect and why, and attach any documents that support your explanation (such as corrected records or proof of a misunderstanding).
Can I request a reasonable accommodation for a disability as part of the informal review?
Yes. If you want CDA to consider special circumstances as a reasonable accommodation, you must submit supporting documentation with your request showing the connection (nexus) between the disability and the accommodation you are requesting.
What if the criminal activity is related to domestic violence, dating violence, sexual assault, or stalking committed against me?
You may have protections under the Violence Against Women Act (VAWA). Note this on your informal review request and be prepared to complete a CDA-provided certification form and submit supporting documentation such as a qualified professional’s statement and related police or court records.
What is HUD Form 5382 and do I have to use it?
HUD-5382 is an optional VAWA certification form used to document domestic violence, dating violence, sexual assault, or stalking for VAWA protections. You can submit this form or other acceptable third-party documentation (like police reports, court records, or a professional’s signed statement), depending on what CDA requests.
How long do I have to provide VAWA documentation if CDA asks for it?
If CDA makes a written request for VAWA documentation, you generally have at least 14 business days from receiving the request to provide it, and you may request an extension.
Will the information I provide about domestic violence or stalking be kept confidential?
Yes. The notice states Dakota County CDA must keep VAWA-related information confidential and generally cannot share it unless you give written permission, it is required for an eviction/termination proceeding, or a law requires disclosure.
What happens after I submit the informal review request?
Dakota County CDA will review the materials you submitted and send you a written decision. If you do not request an informal review, the letter says your file will be closed.
If I miss the 10-business-day deadline or choose not to request a review, can I apply again later?
Yes. The letter says you can re-apply for the waiting list in the future at www.myhousing.dakotacda.org, but you should still follow the current deadline if you want this denial reviewed.
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