Get Health Check Up Form

Filling out the Health Check Up Form is an important step in maintaining compliance with the Americans with Disabilities Act and ensuring your property remains in good standing. This guide provides clear, step-by-step instructions for completing the form online efficiently and accurately.

Follow the steps to successfully complete the Health Check Up Form.

1. Press the ‘Get Form’ button to retrieve the Health Check Up Form and open it for completion.
2. Begin filling out the form by entering your Certification Number, followed by the name of the certified building or facility, and the complete property address including city, state, and zip code.
3. Provide the Date of Issuance as stated on your certificate, which is crucial for annual compliance.
4. Indicate whether you, or an authorized agent, are completing the form by selecting the appropriate option. Ensure the contact person's full name, phone number, and street mailing address are filled in accurately.
5. Respond to the questions regarding renovation, maintenance, accessibility, and any lawsuits you've experienced over the past year by selecting ‘Yes’ or ‘No’ and providing detailed descriptions as necessary.
6. If applicable, update any changes to bank or financial lender information, including the name of the bank, contact person's name, and relevant contact details.
7. Sign the form using the signature field and input the title and date to certify the information provided is accurate and truthful.
8. Once all fields are filled, you can save your changes, download a copy for your records, and print or share the form as required.

Complete your Health Check Up Form online today to ensure continued compliance and maintain your certification.