AUTHORIZATION TO RELEASE INFORMATION REGARDING REQUIREMENT OF A LIVE-IN AIDE

Section 1001 of Title I8 of the U.S. Code makes it a criminal offense to make willful false statements or misrepresentation to any Department or Agency of the United States as to any matter within its jurisdiction.

The PHA may approve a request for a live-in aide as a reasonable accommodation for an elderly person, a near elderly person or a person with disabilities, subject to all of the following conditions being met: 1. The need for a live-in aide is verified by the family member’s medical doctor, psychiatrist, licensed physical therapist, state certified professional, or reliable 3rd party who is in a position to be familiar with individual’s medical condition, disability or handicap. (Family must sign a release form allowing the PHA to verify information.); 2. The family selects a live-in aide qualified to provide the services stipulated on the live-in aide verification form and provides the PHA with the name and screening information for the proposed live-in aide; 3. The live-in aide agrees that he/she has no right to remain in the unit once his/her services are no longer required; 4. The family assumes all liability and responsibility for the actions of the live-in aide and accompanying family members, if applicable; and 5. The live-in aide selected by the family (and all family members accompanying the live-in aide, if applicable) meet all the following PHA screening requirements: a. Executes release forms for verifications of all screening criteria; b. Is not now and has not for at least 1 year been a member of the family’s household or listed on a lease of the family requesting approval of the live-in aide; c. Has never been a member of a household that was evicted from public housing or had other housing assistance terminated by this or any other PHA; d. Does not owe this PHA or any other PHA money; e. Is a U.S. citizen or has eligible immigration status; f. Has not been banned from PHA property currently or historically; g. Is not a registered sex-offender; h. Has no drug related or violent criminal history; i. Has no history of destruction of property or disturbance to neighbors; j. Is not responsible for support of the person for whom they will be providing services; and k. Would not be living in the unit if not there to provide live-in aide services.