Self-Certification Templates for Individuals and Businesses
The templates available on this page can be used by businesses to customize and include their own contact information and use in their day-to-day operations with individuals or contractors seeking to self-certify. Click on the respective year buttons below to view, download and edit the word templates for individual certifications or business self-certifications.
If you interested in participating in procurement directly with PRDOH you must select the Download button for the Section 3 Business Self-Certification Form-External. If you are a business, contractor, or subrecipient and you will want to download the forms to customize it for use in your day-to-day operations with individuals or to identify yourself as Section 3 Business.
Puerto Rico Income Limits
The following information can be used within the Section 3 self-certification templates as needed.
2019 Income Limits
For the year 2019, HUD has authorized the use of the following income limits to identify if an individual or familiar income levels qualify as a Section 3 Individual.
| Family Size | Income limit: less than or equal to* |
|---|---|
| 1 | $28,850 |
| 2 | $33,000 |
| 3 | $37,100 |
| 4 | $41,200 |
| 5 | $44,500 |
| 6 | $47,800 |
| 7 | $51,100 |
| 8 | $54,400 |
2020 Income Limits
For the year 2020, HUD has authorized the use of the following income limits to identify if an individual or familiar income levels qualify as a Section 3 Individual.
| Family Size | Income limit: less than or equal to* |
|---|---|
| 1 | $29,400 |
| 2 | $33,600 |
| 3 | $37,800 |
| 4 | $41,950 |
| 5 | $45,350 |
| 6 | $48,700 |
| 7 | $52,050 |
| 8 | $55,400 |
2021 Income Limits
For the year 2021, HUD has authorized the use of the following income limits to identify if an individual or familiar income levels qualify as a Section 3 Worker or Targeted Section 3 Worker.
| Family Size | Income limit: less than or equal to* |
|---|---|
| 1 | $29,700 |
| 2 | $33,950 |
| 3 | $38,200 |
| 4 | $42,400 |
| 5 | $45,800 |
| 6 | $49,200 |
| 7 | $52,600 |
| 8 | $56,000 |
2022 Income Limits
For the year 2022, HUD has authorized the use of the following income limits to identify if an individual or familiar income levels qualify as a Section 3 Worker or Targeted Section 3 Worker.
| Family Size | Income limit: less than or equal to* |
|---|---|
| 1 | $31,100 |
| 2 | $35,500 |
| 3 | $40,000 |
| 4 | $44,400 |
| 5 | $48,000 |
| 6 | $51,500 |
| 7 | $55,100 |
| 8 | $58,650 |
The Puerto Rico Housing Department and the CDBG-DR Program does not discriminate on the basis of race, color, national origin, sex, age, religion, sexual orientation or gender identity, or disability, and provides, upon request, reasonable accommodation, including auxiliary aids and services, to afford an individual with a disability an equal opportunity to participate in all services, programs and activities. PRDOH continually strives to make this web platform friendly to screen readers and other accessibility-related software and provide to accessible documents. To request assistance with this site or a copy of a specific document, please call 1-833-234-2324.
Last update: 12-01-2022
