Get Hearing Dog Application

This guide provides comprehensive instructions for completing the HEARING DOG APPLICATION online. By following these steps, users can ensure that they provide accurate and complete information necessary for their application process.

Follow the steps to successfully fill out the HEARING DOG APPLICATION.

1. Press the ‘Get Form’ button to access the HEARING DOG APPLICATION online, opening it in your preferred editing tool.
2. Begin by entering your full name in the designated field at the top of the form, followed by the date of completion.
3. Fill in your street address and, if applicable, your mailing address. Include your home phone, cell phone, and work phone numbers as requested.
4. Provide your email address and select your preferred method of contact, choosing between phone/relay and email.
5. Indicate how you communicate in person by checking the appropriate options regarding lip reading, sign language, and voice.
6. Complete the emergency contact section by providing the name and phone number of a family member or friend who can be contacted in emergencies.
7. Specify your living situation by selecting from options such as house, apartment, or mobile home. If you live in an apartment, indicate the floor you reside on.
8. Indicate whether you rent or own your home. If you rent, provide necessary details including the name and contact information of your landlord.
9. Describe your home environment in detail, explaining where a dog would live and any additional relevant information about your living space.
10. Answer questions about sound awareness by checking the sounds you require assistance with and any additional sounds you would like a dog to be trained to respond to.
11. Provide information about your hearing aids or cochlear implants, including if and when you remove them.
12. Discuss your hearing loss and how it impacts your daily life, noting sounds you can hear and those you often miss.
13. Complete the lifestyle section by providing personal information such as date of birth, marital status, and whether you have children.
14. Provide details about your work or school environment and your supervisor's support regarding bringing a Hearing Dog.
15. Discuss your previous experience with dogs and other pets, including the type of dogs owned and activities shared with them.
16. Complete questions regarding your health and mobility, including any medications taken and their side effects.
17. Acknowledge your understanding of the responsibilities associated with having a Hearing Dog by reviewing sections about care and expenses.
18. Respond to the financial responsibility section, indicating how you plan to cover costs related to caring for the dog.
19. Share personal experiences with dogs and express how you expect a Hearing Dog to help you.
20. Finalize the application by declaring all provided information is truthful, and if applicable, have it signed before submission.
21. Once completed, save changes to the application and download or print a copy. Finally, send the form to the specified address.

Begin the process of obtaining your Hearing Dog by completing the HEARING DOG APPLICATION online today.