Get Disability Homestead - Physicians Statement
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How to fill out the Disability Homestead - Physicians Statement online
Completing the Disability Homestead - Physicians Statement online is an essential step for individuals seeking homestead benefits based on disability. This guide will provide clear and supportive instructions to help users fill out the form accurately and efficiently.
Follow the steps to complete the form with ease.
- Click ‘Get Form’ button to access the form and open it in the editor.
- Fill in the name of the person examined in the designated field. Ensure that the name is spelled correctly for verification purposes.
- Provide the social security number of the individual seeking benefits, which is crucial for identification.
- Enter the complete address of the individual, including street address, city, state, and zip code. Make sure all details are accurate.
- For question 1, indicate whether the individual qualifies as having a disability. Select ‘YES’ or ‘NO’ based on the individual’s circumstances.
- Detail the nature of the disability in the provided text box. Be concise and clear while describing the condition.
- State when the condition was originally diagnosed, providing an accurate date to ensure proper processing.
- In the certification section, the physician's name is required. Ensure that the physician personally examines the individual.
- The physician must sign the document, affirming the accuracy of the information. They should also print or type their name below the signature.
- Fill in the business address of the physician, including street, city, state, and zip code.
- Lastly, the physician should provide their phone number and the date when the form is completed.
- Once all fields are completed, save changes, download the document, and print or share the completed form as needed.
Start completing your documents online today for a smoother experience.
To qualify for the Disabled Persons' Homestead Exemption (DPHE), proof of a disability is required. The acceptable proof of disabil- ity is listed on the back of this Form. If you are unable to provide any of these as proof of your disability, you and an Illinois licensed physician must complete Form PTAX-343-A. PTAX-343-A - Cook County Assessor's Office cookcountyassessor.com https://prodassets.cookcountyassessor.com › form_docu... cookcountyassessor.com https://prodassets.cookcountyassessor.com › form_docu...
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