Item 2 - Proposed Guidelines for the New Orange County Local Rent Supplement Program (OC-LRSP)

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5 by a service provider. 2. A written statement by a relevant third party or the written certification by referring agency staff of the oral verification by the relevant third party that the applicant meets one or more of the conditions; or 3. A written statement by the referring agency staff that the staff person has visited the applicant’s residence and determined that the applicant meets one or more of the conditions or, if a visit is not feasible or relevant to the determination, a written statement by the referring agency staff describing the efforts taken to obtain the required evidence. 3. In addition, one or more of the following should be provided: a. A written documentation of observation by an outreach worker; b. A written certification by the household seeking assistance that demonstrates that the individual or head of household is currently homeless and living in a place not meant for human habitation, in an emergency shelter, or a safe haven. Senior/Elderly Disabled Certification A birth certificate or other official record of birth is the preferred form of age verification (must be at least 62 years of age or older). An original document that provides evidence of the receipt of social security retirement benefits is acceptable. In order to receive Disabled/Disabling Condition preference, the Local Rent Supplement Program applicants must present evidence of disabling condition diagnosis with one or more of the following conditions: substance use disorder, serious mental illness, developmental disability as defined by the Department of Housing and Urban Development (HUD). A disabling condition is defined by HUD as: 1. A physical, mental, or emotional impairment which is expected to be of long-continued and indefinite duration, substantially impedes an individual’s ability to live independently, and of such a nature that the disability could be improved by more suitable conditions; 2. A developmental disability as defined in section 102 of the Developmental Disabilities Assistance and Bill of Rights Act; 3. The disease of acquired immunodeficiency syndrome or any conditions arising from the etiological agency for acquired immunodeficiency syndrome; or 4. A diagnosable substance abuse disorder. Evidence of this criterion must include one of the following: a. Written verification of the condition from a professional licensed by the state to diagnose and treat the condition; b. Written verification from the Social Security Administration; c. Copies of a disability check (e.g., Social Security Disability Insurance check or Veterans Disability Compensation); 7