DAIL Housing Pre-Inspection for Accessibility Assessment (Fillable Form) - The DAIL Housing Pre-Inspection for Accessibility Assessment form is used by the Providing Agencies in the pre-inspection of a home, prior to contacting the DAIL Contractor to schedule a Accessibility Assessment. (Non-Fillable) DAIL Housing Pre-Inspection for Accessibility Assessment form
SAMPLE- DAIL Housing Pre-Inspection for Accessibility Assessment
Agency Accessibility Modification Plan (Fillable Form) - The Provider Agency is responsible for overseeing the implementation of a plan to initiate the home modifications and overseeing the completion of the modification(s). This is a resource the agency may use to keep track of the progress of the plan.
(Non-Fillable) Agency Accessibility Modification Plan
Agency Accessibility Modification Plan, ATTACHMENT - This is a supplemental form for Agency Accessibility Modification Plan, when additional space for listing Assessment items is needed.
(Non-Fillable) Agency Accessibility Modification Plan, ATTACHMENT
DAIL_Housing-Accessibility_Modification_Reimbursement_Form - This form is required when requesting modification reimbursement. Additional information and resources for requesting home modification reimbursement: DAIL Housing Accessibility Modification Reimbursement Information and Notification process -