When a DC Housing Authority Housing Choice Voucher participant requests a reasonable accommodation, DCHA verifies the disability and the disability-related need with a physician, licensed health professional, or professional from a social service or disability agency. ADA Form 845 is that verification step in DCHA's reasonable accommodation packet. DCHA sends the provider's verification after the participant signs a release of medical information.
The participant completes the request and signs the authorization, ADA Form 843 (Release of Medical Information). The physician or other qualified professional completes the verification DCHA sends, confirming the disability and why the accommodation is needed.
Download the current version from the source each time; forms change without notice.
Disability Verification (Reasonable Accommodation packet, ADA Form 845)
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A physician, a licensed health professional, or a professional from a social service or disability agency or clinic. The verifier confirms the participant's disability and explains the disability-related need for the requested accommodation, after the participant authorizes release of medical information.
The provider verification page is not in the published packet. DCHA sends it to the provider after the participant signs the release of medical information, so the clinician completes the version DCHA sends and returns it to the ADA/504 office as instructed.