Get Reasonable Accommodation Verification Form - Housing Authority ...

Filling out the Reasonable Accommodation Verification Form is an essential step for individuals seeking necessary adjustments due to a disability. This guide will walk you through each section of the form, ensuring you understand its components and how to complete it effectively online.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by completing Part I, which requires the household member’s information. Insert the last name, first name, middle initial, address, city, state, zip code, and daytime telephone number of the individual seeking verification.
3. Next, the applicant or resident should provide their authorization by writing their name where indicated and authorizing the knowledgeable professional to disclose relevant information to HACSB regarding the need for reasonable accommodation.
4. The applicant must then sign and date the form to affirm that the information provided is true and correct under penalty of perjury.
5. Proceed to Part II, to be completed by a knowledgeable professional. This section begins with the name of the individual seeking verification. The professional must answer questions regarding the individual’s disability and the accommodations needed.
6. If applicable, the knowledgeable professional should describe the specific accommodation needed, ensuring that it relates directly to the individual’s request and is necessary for achieving equal opportunity.
7. In Part III, the knowledgeable professional must provide their information, including a signature, name, license or certificate number, title, agency stamp, address, city, state, zip code, and telephone number. A declaration under penalty of perjury must also be made by the professional.
8. Finally, review the completed form for accuracy, and save any changes. You may choose to download, print, or share the form as necessary to submit it to HACSB.

Ensure your needs are met by completing the Reasonable Accommodation Verification Form online today.