Certification for Disability Set Aside Unit Application
This form is essential for affordable housing applicants with mobility, vision, or hearing disabilities. It streamlines the eligibility review process for accessible housing units. Proper completion ensures compliance with federal rehabilitation requirements.
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How do I fill this out?
To fill out this form, gather necessary information about the household member's disability. Complete the first page and ensure a licensed medical professional fills out the second page. Finally, bring both pages to your interview with housing developers.

How to fill out the Certification for Disability Set Aside Unit Application?
1
Collect information on household members with disabilities.
2
Complete the first page of the form by the applicant.
3
Have a licensed medical professional complete the second page.
4
Ensure accuracy of all statements before signing.
5
Submit the form during the interview with housing developers.
Who needs the Certification for Disability Set Aside Unit Application?
1
Individuals with mobility impairments needing accessible units.
2
Families with members requiring special accommodations for vision disabilities.
3
Applicants who have hearing disabilities seeking support features.
4
Guardians of individuals with disabilities who are applying for housing.
5
Housing developers who need to verify applicants' disabilities.
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What are the instructions for submitting this form?
You can submit this form in person during your scheduled housing interview. Make sure to bring both pages of the form, including the medical professional's verification. If needed, contact the housing development office for additional submission options.
What are the important dates for this form in 2024 and 2025?
This form is valid for one year after the date of medical verification. Be sure to check for updates in the application period for accessible housing units in 2024 and 2025. Keeping an eye on provider deadlines will facilitate timely submission.

What is the purpose of this form?
The purpose of this form is to establish eligibility for individuals needing accessible housing due to mobility, vision, or hearing disabilities. It aims to ensure compliance with federal laws that mandate availability of affordable units. Completing this form accurately is critical to securing the necessary accommodations.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant/Head of Household Name: Full name of the person applying.
- 2. Phone Number: Contact number for further communication.
- 3. Current Address: Residential address of the applicant.
- 4. Household Member with Disability: Information on the specific household member requiring accommodations.
- 5. Medical Professional Verification: Certification from a medical provider affirming the existence of disability.
What happens if I fail to submit this form?
Failing to submit this form may result in denial of your application for accessible housing. Missing required information can lead to delays in processing your request. Ensure that all necessary documents are completed and handed in at your scheduled interview.
- Application Denial: Not submitting the form may lead to being ineligible for accessible housing.
- Delayed Process: Incomplete submissions can prolong the evaluation of your housing application.
- Lost Opportunities: Missing out on available accessible units due to not following the application process.
How do I know when to use this form?

- 1. Applying for Affordable Housing: Use it when you seek a unit that meets specific accessibility needs.
- 2. Verification of Disability: To provide necessary documentation of a household member's disability.
- 3. Compliance with Federal Laws: To ensure your application adheres to regulations set forth for housing developments.
Frequently Asked Questions
What is this form for?
This form certifies eligibility for accessible housing for individuals with disabilities.
How do I get this form?
You can download it directly from the provided link on our website.
Can I edit the form online?
Yes, you can ease of use to modify the PDF using our editor.
How do I submit this form?
Submit the completed form in-person during your housing interview.
What if I make a mistake on the form?
You can edit the PDF before finalizing it for submission.
Is there a deadline for submission?
It is recommended to submit as soon as possible to avoid delays.
Do I need to provide medical documentation?
Yes, it requires verification from a licensed medical professional.
Can I sign the PDF electronically?
Absolutely! Use our signing feature for convenience.
How can I share the PDF after editing?
You can share it directly from PrintFriendly via email.
Is there a cost to edit and download?
No, all editing and downloading features are free to use.