Form HUD 52650-Cambodia HUD 52650-Cambodia Family Self-Sufficiency (FSS) Program Contract of Partic

km~viFI åKYsar rs'enAedayxÂçnägVn

OMB Approval No. 2577-0178
(exp. 07/31/2010)

U.S. Department of Housing
and Urban Development
Office of Public and Indian
Housing

Family Self-Sufficiency (FSS)
kmµviFI kicÍsn´a" cUlrYm
Program Contract of Participation
Housing Choice Voucher
Public and Indian Housing Programs

kmµviFIkicÍsn´aenH sMrab'åKYsar EdlGacrs'enAedayxÂçnägVn rvag
, TIP~ak'Gar eKhdìan (HA),
, emåKYsar .

¨KYsar

FSS

rab'bJÍU¬lnrNaEdl

rs'enA

k~¬gpæH,

Vn¨tUvcat'Tuk

k~ugkicÍsn´a enaH Ca¨KYsar ”

¨bak'cMNUl¨bcaMq~aM

$----------------------

¨bak'cMNUlEdlrkVn $ ----------------

Q~çl CYlpæH $------------------------------

åbePT kmµviFi FSS.
¨KYsar Ca nak'cUlrYm k~¬g kicÍsn´aenaH sUmKUsekºos:

The HA nwgyk¨bak'enHeTAvinieyaK k~¬gkug

Housing Choice Voucher (HCV) FSS Program

FSS

tamkaryl'¨BmBI

HUD.
nwg raykarN_¨bab'åKYsar GMBi cMnYnåbak'rk§aTuk k~¬gkug FSS

Public Housing FSS Program

mUyq~aMm¶g .ebikalNa åKYsarenaHcUlrYm k~¬g kmµviFI

Indian Housing FSS Program
eKalbMNgrbs' kicÍsn´a
eKaldedArbs' kicØsn´aenH KI edimºi bJØak'GMBisiTiì nwg karTTYlxus

åtUvrbs'åKYsar nwg rbs' HA ., ¨bPBnwg esva" EdlnwgåtUvp¶l'eTA
[¨Ksar ehiy nwg skmµPaB Edl¨tUsaråtUv bMeBj .

HCV

bJØèn¨bak' enAsl' eTAdak' k~¬g kug mUYeTotrbs' HA

yagtic
HA nwg

kardk fvika ecjBi kug rk§a FSS
The HA Gac Gnujati [¨KYsar dk fvika ecjBi kug FSS mun karbJÍb'
kicÍsn´a

.

ebi¨bsinCa¨KYsar

Vn

bJÍb'

eKaledA

beN¶aH

Gasnì

tamkardMrUv rbs' HA ehiy mankarcaMVc'nwgbJÍb'kicÍsn´a dUc Ca

GaNati¶rbs' kicÍsn´a

ykluy eTA bg'«fÂsala [ kUneron ).

kicÍsn´aenaHnwgcUlCaFrman k~¬gef© _____________________
kicÍsn´aenaH nwg Gs' GaNat¶i ___________________________. The HA

Gac bn¶ rhUtdl' 2 q~aM ebIkalNa ¨KYsar p¶l' [ HA nUv esck¶isUmbn¶
Ca laylak'Gk§r GMBI mUlehtusmrm´ «nkarbn¶ .

The HA nwg bg'åbak'eTA [emåKYsar nUv fvika k~¬g kug rk§aTuk rbs' FSS
ticCag luy EdlCMBak' HA enAeBlEdl :

(1) the HA sMerc faåKYsarenaH Vn bJb’kic©sn´a ehiy nwg

(2) enAeBlEdlkic©snaenaH cb’ehiy emåKYsaråtUv pl’ [nUvesckib

FnFan nwg esva" KaM¨T

bJØak’ laylak’Gkr fa minman smaCikåKYsar rbs’xn minVnTTYl

k~¬gry:eBl«nkicÍsn´a HA .

åbak’rdì Welfare eT . CMnYy Welfare dl’kmviFI FSS mann&yfa karTTUl

kug Tukfvika rbs' FSS

CMnYyBirdì ò rdìaPiVl shB&nì

The HA nwgerobcM [ man kug mUysMrab'åKYsar . Ep~kmUy EdlQ~çl

EdlåtUv kar .

pæHeLig edaysarEt kareLig rbs'¨bak'cMNUl EdlcUleTak~¬g kug

karVt’bg’ kug rk§a Tuk rbs’ FSS å

rab’TaMg åbak’suTì ykeTACYy¨KYsar

rbs' FSS ehiyedaysar Et eTAGnaKt nwg ¨bak'fvikaeLigEdr eyag

åKYsar nwg minGacTTYl fvika ecjBi kugrk§a Tuk rbs’ FSSeT ebi :

eTAkardMrUv rbs' HUD .

(1) kicÍsn´aenaH VnGs’GaNati

bJØixageåkamenH Caåbak'cMNUl¨bcaM q~aM rbs'åKYsar ¨bak'cMNUl rbs'

åKYsar , Q~çlpæH enAeBlcab'ep¶im kmµviFI FSS edaysarEt karekinfvika

cMNUl :

(2) the kicÍsn´a Vnåbkas Gasar ²tkar

(3) åKYsarminman¨Kb’lkÅN: åKb’åKan’ minGacTTYlxusåtUvVnkugry:
eBlEdlEcg k~¬g kicÍsn´a

karTTYlxusåtUv rbs’ åKYsar

kareVHBum¸p§Bp§ayBielIkmunVn¨tUvTukCaemaX:

TMB&r 1 of 3

form HUD-52650-Cambodian (12/2004)
ref. Handbook 7420.8

emåKYsar manktbºkic© dUc t eTA :
o

kar bMeBjcb' kicà sn´a :

åtUv rk§a nwg rkkargareFÃi eåkayBi VnbJØb’karhat’hÃikhÃin rkkar

gareFiÃmk . HA eåkayBiVn BiPak§aCamUy emåKYsarmk nwg sMerc

karbJÍb'kicÍsn´a ekIteLig enAeBlEdl HA sMerc fa::

fa kargarenaH smrm eT eyageTAtam cMeNH , karsik§a nwg kar

(1) åKYsar Vn bJÍb' karTTYlxus¨tUvTagGs' enAe¨kam kicÍsn´a

eronsUåt hÃikhÃin mk..

(2)

em åKYsar nwg smaCik eåkayBiVnsMerc CamUy HA

cUleTA

Gnuvtkarhat’
tkarhat’hÃikhÃin nwg esv”a mk åtUv :
o

sUmbMeBjkic©karskmµPaBTaMgLay [VnTan’ry:eBlEcgk~ug
karhat’hÃikhÃIn ehiynwg Epnkar esv”a ..

o

p¶l’ [ HA & HUD Bt_manGMBikarcUlrYm rbs’åKYsar kugkmµviFi FSS
Bt_manenaH

mankar

rkkargareFiÃ

,

karsm¸asn_

karerons sUåt nwg esva epg @ nwg skmµPaB .

,

karhÃikhÃin,

o
o

ebikalNa TTYlCMnYy Welfare , minVnTTYl eT kugry:eBl 12

ExCab’K~a mun nwg kic©sn´a Gs’GaNati ..
o

ebikalNa

cUlkugkmµviFi

HCV åKYsarTaMgåtUv

eKarB

eTAtam

lkÅN rbs’ kmµviFI HCV ehiyrs’enA CamUy kmviFi HA EdlVn

cuHeQaHåKYsar kug km---viFI HCV yagtic 12 Ex munkic©sn´a
cUlCaFrman

rbs’åKYsar ..

luHåtaEt mankaryl’¨BmBi HA tamesckiesi

karxatbg’ ebikalNa åKYsar minVn eKarBeTAtam karTTYlxusåtuveT
ebikalNasmaCik¨KYsar minVneKarBeTAtamkarTTYlxusåtUv eT kug
kic©sn´aenaH

ehiy FA Gac :
(1)
(2)
(3)

åKYsarenaH nwg minVnTTYl¨bak’CMnYyeT k~ug kug FSS

bJÍb’esva” eTA [åKYsarenaH

bJ©b’ karcUlrYmkugkmviFI FSS

ebiåKYsarcUlrYm kugkmviFi HCV , bJÍb’kmviFiCMnYy eyageTAtam

o

Éelis

Bi

(1)

HA nwgåKYsar yl'¨BmK~a bJÍb'kicÍsn´a;

(2)

the

HA

sMercfa

åKYsar

minVn

bMeBjlkÅN:

TagGs'enkarTTYlxusåtUv eyageTA tam kicÍsn´ a .

(3)

åKYsar dkxÂçnecj Bi kmµviFi FSS

GMeBiekiteLig Edlmin ¨sbeTAtam eKalbMNg rbs' kmviFiFSS

the HA Vn¨tUvGnujati eyageTAtamkardMrUv rbs' HUD.

. The HA ¨tuv¨bkas fa kicÍsn´aenaH VncUlCaemaX: ebikalNa¨bPB
nwg esva" caMVc' minmaneT .

HA åtUvp¶l'nUv esck¶i¨bkas[dwg en kkicÍsn´aemaX: dl'emåKYsar .
dMNwgenaH ¨tUvniyayGMBimUlehtusmrm´ edimºi [ HA eFiÃkarsMerc
edaysmrm´ . .

ebikalNa kicÍsn´acb'ehiy nwg ¨bkas emaX:åKYsar minmansiTiì
nwgTTYl yk fvikaeT Bi kmµviFi FSS . HA åtUv bitkug FSS ehiyyk
luysl'k~èg kug eTAe¨bi¨bas ¨sbeTAtamkardMrUvrbs' HUD

ebikalNaåKYsar cUlrYm k~¬gkmµviFI HCV , HA nwg bJÍb'kicÍsn´a ebik

kalNa¨KYsar dUrlMenAdìan put Bismt¶kicÍ rbs' HA enATIkEnÂg d«T .

ebikalNaåKYsarculrYmk~ugkmµviFI HCV , kicÍsn´aenH nwg ¨tUv cb' eday

HUD
pl¨beyaCn_ pæ¬y CamYykarCYlpæH [ saFarNCn nwg ²Nëa .
ebikalNa

Ep~kmUy

rbs'kicÍsn´a

¨bqagnwg

karCYlpæH,

¨sbeTAtam kardMrUv rbs' HUD

xitxM TTYlykkarebCacit¶ Bi saFarNCn nwg äkCn

kicÍsn´aenah ¨tUvGnuvt¶[¨sbeTAtam kardMrUv rbs' HUD .GaNati¶

vrbs’åKYsar .

nwgtYelx dUc Ca cMnYn¨bak'cMNUl nwg «fÂQ~çlpæH

erobcM kugrk§a Tuk sMrab’åKYsar, ykeTAvinieyaK ehiy p¶l’dMNwg
ral’@ qaM dl’åKYsar GMBi vinieyaK .

o

esµi

The HA GacbJÍb'kicÍsn´a ebikalNa :

kicÍsn´aCYlenaH nwg mane¨bobCag ..

muxnaTi TTYlxusåtUv rbs’ HA
edimºiKaMåTes va

¨bcaMEx

sÃ&y¨bvt¶ ehiyebiCMnYydl'¨KYsar cb'Edr eyageTAtamkardMrUv rbs'

kardMrUv rbs’ HUD .

o

«n¨bak'cMNUl

d«mÂp§arFmµtaenTMhM bnæb' EdlåKYsar Cab'eQµaH ..

(5)

eKarBeTAtam GaNati¶u kic©sn´a ..

PaKry

karbJÍb' kicÍsn´a

(4)

åKYsar TagGs’åtUv :

30

sMerc fa eti eKaledANamUy Edl¨tUv bMeBj mun nwg yk åbak’

1GacEkdMrUv

[¨sbeTAtamkardMrUv

åtUv¨bab'[dwgåKYsaredaylaylak'Gk§r
enAk~ugkiÍsn´a .

rbs'

HUD

enAeliTMBr TI
.

HA

GMBikarE¨b¨bYlNamUy

FSS ykeTa [ åKYsar ..

o

bJÍak'faåKYsarVn bJÍb' karTTYlxusåtUv TagGs'enAe¨kam

kicÍsn´a

o

[luyeTAåKYsar nUv¨bak'sl'enAk~ugkug rk§a FSS ebikalNaåKYsar
bJØb'kicÍsn´a rhiyem¨KYsarVn sresr bJØak' minmansmaCik
rbs'åKYsar TTYlyk¨bak'CMnYy Welfare

kareVHBum¸p§Bp§ayBielIkmunVn¨tUvTukCaemaX:

TMB&r 2 of 3

form HUD-52650-Cambodian (12/2004)
ref. Handbook 7420.8

hat¶elxa
¨KYsar

(hat¶elxa em åKYsar )

(«f© cuHhat¶elxa )

TIP~ak'gar eKhdìan
(eQµaH HA)

(hatelxa mån¶i

(buN´skûi)
(ef© cuHhatelxa)

äksarenH Ca esck¶IbkE¨b rbs' äksar¨sbcºab'rbs'Ggðkar HUD Edl Vn¨tUvp§Bp§ay. Ggðkar HUD p¶l' karbkE¨b dl'
Gs'elak G~k, Edl Ca karsmrm´ gay¨sYlnwgCYyelak G~k [ yl'dwg GMBIsiTìirbs'elak G~k nwgkatBÃkicÍ .
äksarCaPasaGg'eKÂ enH mansPaBtampÂ
mansPaBtampÂèvkar ¨sbcºab' nwg mansuBlPaB . äksar bkE¨bPasa minEmn äksar tampÂèvkareT

kareVHBum¸p§Bp§ayBielIkmunVn¨tUvTukCaemaX:

TMB&r 3 of 3

form HUD-52650-Cambodian (12/2004)
ref. Handbook 7420.8