ReasonableAccommodation_LiveinAide

Authorization to Release Information Regarding the Requirement of a Live-In Aide

The individual named below is an applicant/tenant of housing subsidized through the Department of Housing and Urban Development. This individual has authorized, by signature below, your release of the requested information. The information you provide will be used only for the purpose of determining this person's need for a live-in aide and approval of the live-in aide selected by them. We are required to complete our verification process in a short time period and would appreciate your prompt response. Please fax the completed form to number listed below. If you have any questions, please contact our agency.

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ReasonableAccommodation_LiveinAide

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