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Section I 1. Voucher Family Member for whom the live-in aide is being requested Voucher Head of Household The Housing Authority of the County of Santa Cruz may approve a request for a live-in aide as a reasonable accommodation for a person with disabilities. Authorization to Release Information I authorize the health care provider or social worker listed above to disclose relevant information to Housing Authority obtains will be kept confidential and used solely to determine if an...
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How to fill out request for live-in aide

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How to fill out request for live-in aide

01
Obtain the necessary request forms from the relevant agency or organization.
02
Gather all the required personal information and supporting documents, such as identification documents, medical records, and proof of financial eligibility.
03
Fill out the request form accurately and completely, ensuring all necessary details are provided.
04
Include a detailed explanation of why a live-in aide is needed, providing relevant medical or personal reasons.
05
Attach any additional supporting documentation or letters from healthcare professionals, if applicable.
06
Submit the completed request form along with all required documents to the designated address or office.
07
Follow up with the agency or organization to ensure the request is being processed and to provide any additional information if requested.
08
Be patient and proactive in communication with the relevant authorities, as the processing time may vary.
09
Once the request is approved, carefully review the terms and conditions provided by the agency or organization.
10
Make necessary arrangements for the live-in aide's accommodation and orientation to ensure a smooth transition.
11
Regularly communicate with the agency or organization to address any concerns or issues that may arise during the live-in aide's tenure.

Who needs request for live-in aide?

01
Individuals with certain medical conditions or disabilities that require constant assistance and supervision.
02
Elderly individuals who are unable to perform daily activities independently or require specialized care.
03
People recovering from major surgeries or medical procedures who need help with daily tasks during the recovery period.
04
Individuals with chronic illnesses or conditions that require ongoing support and assistance.
05
Children or adults with developmental disabilities or cognitive impairments who need continuous care and supervision.
06
Individuals with terminal illnesses who prefer to receive care and support in the comfort of their own homes.
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A request for live-in aide is a formal request submitted by a disabled individual to have a live-in aide assist with daily living activities.
The disabled individual or their legal guardian is required to file a request for a live-in aide.
The request for live-in aide can be filled out by providing personal information, details of disability, and the specific tasks the live-in aide will assist with.
The purpose of the request for live-in aide is to ensure that disabled individuals receive the necessary support to carry out daily activities and maintain a good quality of life.
The request for live-in aide must include personal information of the disabled individual, details of disability, tasks the live-in aide will assist with, and any relevant medical information.
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