ODISHA GOVT HRA CERTIFICATE FORM FILLED SAMPLE
ODISHA GOVT HRA CERTIFICATE FORM – 5 ELIGIBLE CASES
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Employee in Hired Accommodation + Spouse NOT a Government Servant
Most common case. Employee stays in rented house within 8 KM / ULB limits. Spouse is in private sector or homemaker. Fully eligible for HRA.
CERTIFICATE TO BE FURNISHED BY A GOVERNMENT EMPLOYEE
FOR GRANT OF HOUSE RENT ALLOWANCE
*****
Particulars furnished by the Officer
| Sl. No. | Description of the particular | Remarks |
|---|---|---|
| (1) | (2) | (3) |
| 1 | Whether Government accommodation has been provided to the self/spouse during the period at place of posting | NOYES |
| 2 | Staying in house owned by me /wife/son/children / father/mother/husband within a radius of 8 KM from Headquarter | NOYES |
| 3 | Staying in house owned by me /wife/son/children / father/mother/husband within the limits of the Urban Local Body of Headquarter | NOYES |
| 4 | Staying in a hired accommodation within a radius of 8 KM from Headquarter | NOYES |
| 5 | Staying in a hired accommodation within the limits of the Urban Local Body of Headquarter | NOYES |
| 6 | Allowed to retain the Government accommodation at my old place of posting to retain my family on payment of normal rent/penal rent for the period from ...................... to ........................ | NOYES |
| 7 | My spouse is a Government servant | NOYES |
| 8 | Whether widow/widower/Unmarried | NOYES |
| 9 | My spouse is posted in the same Headquarter | NOYES |
| 10 | My spouse is in receipt of HRA | NOYES |
@ If the answer is yes, the period is to be mentioned in Column no.2.
I certify that the above particulars are true to the best of my knowledge.
Present Local residential address
PLOT NO. 45, SAHEED NAGAR,
BHUBANESWAR - 751007
Signature: RAMESH CHANDRA
Designation: JUNIOR ASSISTANT
Date: 01.07.2026
WHY ELIGIBLE: NO Govt Quarter | NO Own House | YES Hired | NO Spouse Govt | NO Widow | NO Same HQ | NO Spouse HRA
Standard eligible case. All conditions met as per Rule 3(a)(i) & 3(b) of Finance Dept OM 6747/F.
How to Fill – Case 1
Item 1 – Govt Accommodation
Tick NO. No govt quarter provided. Strike out YES.
Item 2 – Own House Within 8 KM
Tick NO. Not staying in own/family house. Strike out YES.
Item 3 – Own House Within ULB
Tick NO. No own house in ULB limits. Strike out YES.
Item 4 – Hired Within 8 KM
Tick YES. Staying in rented house. Strike out NO.
Item 5 – Hired Within ULB
Tick YES. Rented house in ULB. Strike out NO.
Item 6 – Retaining Old Quarter
Tick NO. Not retaining old quarter. Strike out YES.
Item 7 – Spouse Govt Servant
Tick NO. Spouse is private sector. Strike out YES.
Item 8 – Widow/Widower/Unmarried
Tick NO. Employee is married. Strike out YES.
Item 9 – Spouse Same HQ
Tick NO. Spouse not govt servant → N/A. Strike out YES.
Item 10 – Spouse Gets HRA
Tick NO. Spouse not govt → no HRA. Strike out YES.
Employee in Own House Within 8 KM + Spouse NOT a Government Servant
As per Rule 3(a)(i) & 3(b), a govt employee living in his OWN house within 8 KM of HQ is fully eligible for HRA. Items 2 & 3 should be YES (only "me" remains, rest struck out).
CERTIFICATE TO BE FURNISHED BY A GOVERNMENT EMPLOYEE
FOR GRANT OF HOUSE RENT ALLOWANCE
*****
Particulars furnished by the Officer
| Sl. No. | Description of the particular | Remarks |
|---|---|---|
| (1) | (2) | (3) |
| 1 | Whether Government accommodation has been provided to the self/spouse during the period at place of posting | NOYES |
| 2 | Staying in house owned by me / wife / son / children / father / mother / husband within a radius of 8 KM from Headquarter | NOYES |
| 3 | Staying in house owned by me / wife / son / children / father / mother / husband within the limits of the Urban Local Body of Headquarter | NOYES |
| 4 | Staying in a hired accommodation within a radius of 8 KM from Headquarter | NOYES |
| 5 | Staying in a hired accommodation within the limits of the Urban Local Body of Headquarter | NOYES |
| 6 | Allowed to retain the Government accommodation at my old place of posting to retain my family on payment of normal rent/penal rent for the period from ...................... to ........................ | NOYES |
| 7 | My spouse is a Government servant | NOYES |
| 8 | Whether widow/widower/Unmarried | NOYES |
| 9 | My spouse is posted in the same Headquarter | NOYES |
| 10 | My spouse is in receipt of HRA | NOYES |
@ If the answer is yes, the period is to be mentioned in Column no.2.
I certify that the above particulars are true to the best of my knowledge.
Present Local residential address
PLOT NO. 12, GANGANAGAR,
CUTTACK - 753001
Signature: PRADEEP KUMAR
Designation: SECTION OFFICER
Date: 01.07.2026
WHY ELIGIBLE: NO Govt Quarter | YES Own House (me) within 8 KM | NO Hired | NO Spouse Govt | NO Widow | NO Same HQ | NO Spouse HRA
Rule 3(a)(i): "A Government employee... living in his own house within 8 KM of his Headquarters shall be eligible to draw House Rent Allowance." Items 2 & 3: only "me" is NOT struck out; wife/son/children/father/mother/husband are all struck out.
How to Fill – Case 2
Item 1 – Govt Accommodation
Tick NO. Strike out YES.
Item 2 – Own House Within 8 KM
Tick YES. Strike out NO. In the description, strike out all names EXCEPT "me" — wife/son/children/father/mother/husband all get struck out. Only "me" remains visible.
Item 3 – Own House Within ULB
Tick YES. Strike out NO. Same as Item 2 — strike out all names except "me".
Item 4 – Hired Within 8 KM
Tick NO. You live in own house, not hired. Strike out YES.
Item 5 – Hired Within ULB
Tick NO. Strike out YES.
Item 6 – Retaining Old Quarter
Tick NO. Strike out YES.
Item 7 – Spouse Govt Servant
Tick NO. Strike out YES.
Item 8 – Widow/Widower/Unmarried
Tick NO. Strike out YES.
Item 9 – Spouse Same HQ
Tick NO. Strike out YES.
Item 10 – Spouse Gets HRA
Tick NO. Strike out YES.
Important for Case 2
- Strike Out Names: In Items 2 & 3, you must strike out ALL relation names that do NOT apply. Only "me" should remain visible if the house is self-owned.
- Rule 3(b) Backup: Even if someone questions, Rule 3(b) explicitly states: "A Government employee who is living in a house which belongs to him... will be eligible to get house rent allowance."
- Address Proof: Keep sale deed / registry copy ready showing the house is in your name, within 8 KM of HQ.
Employee in Wife's / Parents' House + Spouse NOT a Government Servant
As per Rule 3(b), living in house belonging to wife, father, mother, or children makes you eligible. Here, employee stays in wife's house within 8 KM. Items 2 & 3: only "wife" remains, rest struck out.
CERTIFICATE TO BE FURNISHED BY A GOVERNMENT EMPLOYEE
FOR GRANT OF HOUSE RENT ALLOWANCE
*****
Particulars furnished by the Officer
| Sl. No. | Description of the particular | Remarks |
|---|---|---|
| (1) | (2) | (3) |
| 1 | Whether Government accommodation has been provided to the self/spouse during the period at place of posting | NOYES |
| 2 | Staying in house owned by me / wife / son / children / father / mother / husband within a radius of 8 KM from Headquarter | NOYES |
| 3 | Staying in house owned by me / wife / son / children / father / mother / husband within the limits of the Urban Local Body of Headquarter | NOYES |
| 4 | Staying in a hired accommodation within a radius of 8 KM from Headquarter | NOYES |
| 5 | Staying in a hired accommodation within the limits of the Urban Local Body of Headquarter | NOYES |
| 6 | Allowed to retain the Government accommodation at my old place of posting to retain my family on payment of normal rent/penal rent for the period from ...................... to ........................ | NOYES |
| 7 | My spouse is a Government servant | NOYES |
| 8 | Whether widow/widower/Unmarried | NOYES |
| 9 | My spouse is posted in the same Headquarter | NOYES |
| 10 | My spouse is in receipt of HRA | NOYES |
@ If the answer is yes, the period is to be mentioned in Column no.2.
I certify that the above particulars are true to the best of my knowledge.
Present Local residential address
FLAT NO. 3B, LAXMI VILLA,
BERHAMPUR - 760001
Signature: SURESH KUMAR
Designation: SR. CLERK
Date: 01.07.2026
WHY ELIGIBLE: NO Govt Quarter | YES Wife's House within 8 KM | NO Hired | NO Spouse Govt | NO Widow | NO Same HQ | NO Spouse HRA
Rule 3(b): "A Government employee who is living in a house which belongs to him / her father or mother or owned by his wife or children... will be eligible to get house rent allowance." Items 2 & 3: only "wife" NOT struck out; me/son/children/father/mother/husband all struck out.
How to Fill – Case 3
Item 1 – Govt Accommodation
Tick NO. Strike out YES.
Item 2 – Family House Within 8 KM
Tick YES. Strike out NO. In description, strike out all names EXCEPT "wife" — me/son/children/father/mother/husband all struck out. Only "wife" remains.
Item 3 – Family House Within ULB
Tick YES. Strike out NO. Same as Item 2 — only "wife" remains, rest struck out.
Item 4 – Hired Within 8 KM
Tick NO. You live in wife's house, not hired. Strike out YES.
Item 5 – Hired Within ULB
Tick NO. Strike out YES.
Item 6 – Retaining Old Quarter
Tick NO. Strike out YES.
Item 7 – Spouse Govt Servant
Tick NO. Strike out YES.
Item 8 – Widow/Widower/Unmarried
Tick NO. Strike out YES.
Item 9 – Spouse Same HQ
Tick NO. Strike out YES.
Item 10 – Spouse Gets HRA
Tick NO. Strike out YES.
Important for Case 3
- Relation-Specific Striking: In Items 2 & 3, you MUST strike out every relation name that does NOT apply. Only the actual owner's name stays visible.
- Wife's House = Eligible: Rule 3(b) explicitly covers "owned by his wife." Do not let anyone deny HRA on this ground.
- Same for Parents/Children: If living in father's or mother's house, strike out all except "father" or "mother" as applicable.
- Document Proof: Keep property documents or rental agreement (if paying rent to wife/parents) for verification if asked.
Both Husband & Wife are Government Servants at DIFFERENT Headquarters
As per Rule 3(c), HRA restriction applies ONLY when both spouses are posted at the SAME Headquarters. If posted at different stations, BOTH can claim HRA independently. Item 7 = YES, Items 9 & 10 = NO (different HQ).
CERTIFICATE TO BE FURNISHED BY A GOVERNMENT EMPLOYEE
FOR GRANT OF HOUSE RENT ALLOWANCE
*****
Particulars furnished by the Officer
| Sl. No. | Description of the particular | Remarks |
|---|---|---|
| (1) | (2) | (3) |
| 1 | Whether Government accommodation has been provided to the self/spouse during the period at place of posting | NOYES |
| 2 | Staying in house owned by me /wife/son/children / father/mother/husband within a radius of 8 KM from Headquarter | NOYES |
| 3 | Staying in house owned by me /wife/son/children / father/mother/husband within the limits of the Urban Local Body of Headquarter | NOYES |
| 4 | Staying in a hired accommodation within a radius of 8 KM from Headquarter | NOYES |
| 5 | Staying in a hired accommodation within the limits of the Urban Local Body of Headquarter | NOYES |
| 6 | Allowed to retain the Government accommodation at my old place of posting to retain my family on payment of normal rent/penal rent for the period from ...................... to ........................ | NOYES |
| 7 | My spouse is a Government servant | NOYES |
| 8 | Whether widow/widower/Unmarried | NOYES |
| 9 | My spouse is posted in the same Headquarter | NOYES |
| 10 | My spouse is in receipt of HRA | NOYES |
@ If the answer is yes, the period is to be mentioned in Column no.2.
I certify that the above particulars are true to the best of my knowledge.
Present Local residential address
QTR. NO. B-12, STAFF COLONY,
ROURKELA - 769001
Signature: SANJAY KUMAR
Designation: ASST. ENGINEER
Date: 01.07.2026
WHY ELIGIBLE: NO Govt Quarter | NO Own House | YES Hired | YES Spouse Govt | NO Widow | NO Same HQ | NO Spouse HRA at Same Station
Rule 3(c): "If both husband and wife are Government servants and are posted at the SAME Headquarters, HRA will be payable to one of them." Since posted at DIFFERENT headquarters, BOTH are independently eligible. Item 7 = YES (spouse is govt), but Items 9 & 10 = NO (different stations).
How to Fill – Case 4
Item 1 – Govt Accommodation
Tick NO. No govt quarter to self or spouse at this station. Strike out YES.
Item 2 – Own House Within 8 KM
Tick NO. Not staying in own/family house. Strike out YES.
Item 3 – Own House Within ULB
Tick NO. Strike out YES.
Item 4 – Hired Within 8 KM
Tick YES. Staying in rented house. Strike out NO.
Item 5 – Hired Within ULB
Tick YES. Rented house in ULB. Strike out NO.
Item 6 – Retaining Old Quarter
Tick NO. Not retaining old quarter. Strike out YES.
Item 7 – Spouse Govt Servant
Tick YES. Spouse IS a govt servant. Strike out NO. Note: This does NOT disqualify you since you are at different HQ.
Item 8 – Widow/Widower/Unmarried
Tick NO. Married. Strike out YES.
Item 9 – Spouse Same HQ
Tick NO. Spouse posted at DIFFERENT headquarters (e.g., Bhubaneswar vs Cuttack). Strike out YES. This is the key — different station = both eligible.
Item 10 – Spouse Gets HRA
Tick NO. Spouse gets HRA at HER station, not at YOUR station. Since different HQ, no overlap. Strike out YES.
Important for Case 4
- Different HQ = Both Eligible: Rule 3(c) restriction applies ONLY to same headquarters. Different stations = independent claims.
- Spouse Details in Column 2: If Item 7 is YES, some offices may ask you to mention spouse's department and posting station in Column 2 remarks. Write: "Spouse: Smt. X, Teacher, posted at [Different Station]."
- No Double Claim at Same Station: Ensure your spouse is NOT also claiming HRA for the same house/address. Each claims at their own HQ.
- Annual Certificate: Both spouses must submit separate certificates at their respective offices every July.
Widow / Widower / Unmarried Employee in Hired Accommodation
For unmarried, widowed, or divorced employees — Item 8 = YES. Since no spouse exists, Items 7, 9, and 10 become N/A. The safest approach: Item 7 = NO (no spouse to be govt servant), Items 9 & 10 = NO (N/A). HRA is fully admissible in hired accommodation.
CERTIFICATE TO BE FURNISHED BY A GOVERNMENT EMPLOYEE
FOR GRANT OF HOUSE RENT ALLOWANCE
*****
Particulars furnished by the Officer
| Sl. No. | Description of the particular | Remarks |
|---|---|---|
| (1) | (2) | (3) |
| 1 | Whether Government accommodation has been provided to the self/spouse during the period at place of posting | NOYES |
| 2 | Staying in house owned by me /wife/son/children / father/mother/husband within a radius of 8 KM from Headquarter | NOYES |
| 3 | Staying in house owned by me /wife/son/children / father/mother/husband within the limits of the Urban Local Body of Headquarter | NOYES |
| 4 | Staying in a hired accommodation within a radius of 8 KM from Headquarter | NOYES |
| 5 | Staying in a hired accommodation within the limits of the Urban Local Body of Headquarter | NOYES |
| 6 | Allowed to retain the Government accommodation at my old place of posting to retain my family on payment of normal rent/penal rent for the period from ...................... to ........................ | NOYES |
| 7 | My spouse is a Government servant | NOYES |
| 8 | Whether widow/widower/Unmarried | NOYES |
| 9 | My spouse is posted in the same Headquarter | NOYES |
| 10 | My spouse is in receipt of HRA | NOYES |
@ If the answer is yes, the period is to be mentioned in Column no.2.
I certify that the above particulars are true to the best of my knowledge.
Present Local residential address
HOUSE NO. 78, KALINGA NAGAR,
ANGUL - 759122
Signature: SUPRIYA PRIYADARSHINI
Designation: LADY SUPERVISOR
Date: 01.07.2026
WHY ELIGIBLE: NO Govt Quarter | NO Own House | YES Hired | NO Spouse (Unmarried/Widow) | YES Unmarried/Widow | NO Same HQ (N/A) | NO Spouse HRA (N/A)
Unmarried/widowed employees are independently eligible. No spouse-related restrictions apply. Items 7, 9, 10 are N/A — safest to tick NO and strike out YES.
How to Fill – Case 5
Item 1 – Govt Accommodation
Tick NO. No govt quarter. Strike out YES.
Item 2 – Own House Within 8 KM
Tick NO. Not in own/family house. Strike out YES.
Item 3 – Own House Within ULB
Tick NO. Strike out YES.
Item 4 – Hired Within 8 KM
Tick YES. Staying in rented house. Strike out NO.
Item 5 – Hired Within ULB
Tick YES. Rented house in ULB. Strike out NO.
Item 6 – Retaining Old Quarter
Tick NO. Not retaining old quarter. Strike out YES.
Item 7 – Spouse Govt Servant
Tick NO. No spouse exists (unmarried/widow). Strike out YES. Even though N/A, NO is the safest default.
Item 8 – Widow/Widower/Unmarried
Tick YES. You ARE unmarried/widowed. Strike out NO. This confirms your independent status.
Item 9 – Spouse Same HQ
Tick NO. N/A — no spouse. Strike out YES.
Item 10 – Spouse Gets HRA
Tick NO. N/A — no spouse. Strike out YES.
Important for Case 5
- Item 8 = YES is Critical: This establishes that no spouse-related rules apply to you. Make sure YES is clearly ticked and NO is struck out.
- Items 7, 9, 10 are N/A: Since there is no spouse, these items don't apply. Tick NO and strike out YES as the standard safe practice.
- No Dual-Claim Issue: Being unmarried/widowed means zero risk of dual HRA claim. Your eligibility is straightforward.
- Same Rules Apply: All other rules (govt quarter, own house, hired accommodation) apply exactly the same as married employees.
Quick Comparison – All 5 Cases at a Glance
| Item | Case 1 Hired + Spouse Pvt |
Case 2 Own House + Spouse Pvt |
Case 3 Wife's House + Spouse Pvt |
Case 4 Hired + Both Govt Diff HQ |
Case 5 Hired + Unmarried/Widow |
|---|---|---|---|---|---|
| 1 Govt Qtr | NO | NO | NO | NO | NO |
| 2 Own House 8KM | NO | YES (me only) | YES (wife only) | NO | NO |
| 3 Own House ULB | NO | YES (me only) | YES (wife only) | NO | NO |
| 4 Hired 8KM | YES | NO | NO | YES | YES |
| 5 Hired ULB | YES | NO | NO | YES | YES |
| 6 Old Qtr | NO | NO | NO | NO | NO |
| 7 Spouse Govt | NO | NO | NO | YES | NO |
| 8 Widow/Unmarried | NO | NO | NO | NO | YES |
| 9 Spouse Same HQ | NO | NO | NO | NO | NO |
| 10 Spouse HRA | NO | NO | NO | NO | NO |
Frequently Asked Questions
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