Document Request Page
Everyday we get multiple requests for documents and verification forms. In order to fulfill these requests, we have implemented the following policy:
In order that we maintain the highest level of our consumer's confidentiality, ALL REQUESTS FOR DOCUMENTS MUST BE SUBMITTED IN WRITING.
We have tried to make this change as easy as possible by providing the form below. Other acceptable forms of requesting documents are by submitting an email to us at firstname.lastname@example.org. Please include the consumers Full Name, Your Full Name, and where you would like this to be faxed. Due to HIPPA Laws are are not able to email these sensitive PII containing documents.
WE REQUIRE A 5 BUSINESS DAY TURN AROUND TIME FOR ALL DOCUMENTS!
In the world of disability services, in order to obtain/maintain benefits like housing grants, Medicaid, or food stamps, various forms are necessary. Documents like SSA award letters, income verifications, W2's, Medicare cards, and other documents issues for the beneficiary typically go to the Representative Payee to be saved for the consumer's use. This page will help you obtain these items.
Transmission of this form meets or exceeds all HIPPA online confidentialy requirements.