Live-in Aide Request Form Santa Cruz Housing Authority
This file contains the request form for a live-in aide from the Santa Cruz Housing Authority. It includes detailed instructions on how to fill out the form and the required information needed for submission. Users seeking accommodation due to disabilities will find vital information regarding this request process.
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How do I fill this out?
To begin filling out the request for a live-in aide, gather all necessary information regarding the family member in need of assistance. Ensure to have contact details for the healthcare professional for verification purposes. Follow the prompts in the form carefully to provide complete and accurate information.

How to fill out the Live-in Aide Request Form Santa Cruz Housing Authority?
1
Gather all required personal and healthcare information.
2
Complete Section I if new or Section II if changing an aide.
3
Provide accurate contact information for the healthcare provider.
4
Sign the authorization for release of information.
5
Submit the completed form to the Housing Authority.
Who needs the Live-in Aide Request Form Santa Cruz Housing Authority?
1
Individuals with disabilities needing personal care support.
2
Families applying for housing assistance under the Section 8 program.
3
Current voucher holders wishing to request a change in their live-in aide.
4
Caregivers seeking more formalized arrangements for living support.
5
Social workers assisting disabled clients with housing documentation.
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Open your Live-in Aide Request Form in PrintFriendly.
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Use the editing tools to make necessary changes.
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What are the instructions for submitting this form?
Please submit the completed Live-in Aide Request Form to the Housing Authority of the County of Santa Cruz at 2160 41st Avenue, Capitola, CA 95010. You may also contact them at (831) 454-5955 for assistance between Monday and Thursday from 8:00 AM to 4:30 PM, and Friday from 8:00 AM to 12:00 PM. Ensure all signatures and necessary information are included to avoid delays.
What are the important dates for this form in 2024 and 2025?
The request form should be submitted as soon as you determine the need for a live-in aide. If you have upcoming reviews or renewals of housing assistance, ensure that this form is completed prior to those dates.

What is the purpose of this form?
The Live-in Aide Request Form serves as an official document to request the approval of a live-in aide due to a disability. This request ensures that individuals with disabilities receive necessary care and assistance in their homes. It highlights the importance of having appropriate support for those who qualify under the Section 8 housing program.

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

- 1. Voucher Family Member: The family member for whom the live-in aide is being requested.
- 2. Healthcare Professional Name: The name of the professional who can verify the disability.
- 3. Live-in Aide's Name: Name of the proposed live-in aide.
What happens if I fail to submit this form?
Failing to submit this form may delay the process of obtaining necessary assistance. It is crucial to provide complete and accurate information to avoid setbacks in the approval process.
- Incomplete Submission: Your form may be returned for missing information, which can slow down the process.
- Incorrect Information: If contact details are wrong, verification cannot occur, delaying the approval.
- Lack of Authorization: Failure to sign the authorization may prevent the Housing Authority from accessing necessary medical information.
How do I know when to use this form?

- 1. Applying for New Live-in Aide: Use when requesting approval for a new aide.
- 2. Changing Live-in Aide: Apply when you wish to change your approved live-in aide.
- 3. Reasonable Accommodation: Use this form to formally request reasonable accommodations.
Frequently Asked Questions
What is the purpose of this form?
The purpose of the Live-in Aide Request Form is to request approval for a live-in aide as a reasonable accommodation for individuals with disabilities.
How do I submit the completed form?
You can submit the completed form electronically or by mail to the Housing Authority.
What information is required on the form?
You will need to provide personal details, healthcare provider information for verification, and the proposed live-in aide's information.
What happens after I submit the form?
You will be informed of the status of your request within 30 days.
Can I edit the form after it's completed?
Yes, you can easily edit the form using PrintFriendly before submitting it.
Is there a fee for using PrintFriendly?
No, PrintFriendly offers free editing and sharing features for your PDFs.
How can I get assistance in filling out the form?
You can contact the Housing Authority or reach out to a social worker for help.
What should I do if my request is denied?
You may inquire about the reasons for denial and seek guidance on how to address the issues.
Can the live-in aide be a family member?
Yes, but it must meet specific criteria outlined by the Housing Authority.
How soon can I expect a response after submission?
Typically, you will receive a response within 30 days.
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