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Get the free Accommodation Referral

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This form is used to refer a patient to Rānui House for accommodation. It collects necessary patient and referrer information, including dates of stay and special requirements.
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How to fill out accommodation referral

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How to fill out accommodation referral

01
Gather necessary personal information, including your full name, contact details, and identification numbers.
02
Specify the type of accommodation you are seeking (e.g., temporary, permanent, special needs).
03
Provide details about your current living situation and any relevant medical or support needs.
04
Include information about your income and any financial assistance you may require.
05
Sign and date the referral form before submitting it to the appropriate organization or agency.

Who needs accommodation referral?

01
Individuals facing homelessness or housing instability.
02
People with disabilities requiring specific accommodations.
03
Individuals transitioning from institutional settings to community housing.
04
Students seeking housing support during their education.
05
Families in need of temporary housing solutions.
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Accommodation referral is a process through which accommodations for individuals with disabilities are requested and assessed, ensuring they receive the necessary support to perform essential functions in a work or educational environment.
Individuals who require accommodations due to a disability, or their representative, are typically required to file an accommodation referral to initiate the assessment and provision of necessary support.
To fill out an accommodation referral, individuals should provide their personal information, detail the specific accommodations requested, describe how the disability affects their performance, and submit any required documentation or medical information.
The purpose of accommodation referral is to identify and provide necessary accommodations that enable individuals with disabilities to perform their job or educational responsibilities effectively and fairly.
The accommodation referral must report personal identification details, a description of the disability, the specific accommodations requested, and any relevant medical documentation or recommendations.
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