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8 <br /> a. Source documents (e.g., notice of termination from employment, <br /> bank statement, health care bill showing arrears); or <br /> b. Written statement by referring agency staff confirming that they <br /> spoke to a relevant third party to verify homelessness or at risk <br /> homelessness status; or <br /> c. Written statement by referring agency staff of the efforts taken <br /> to obtain verification through source documents and relevant third <br /> parties <br /> d. Verification that the Local Rent Supplement Program applicant <br /> met one of the seven conditions under the definition of <br /> Homelessness as evidenced by one of the following: <br /> i. Source documents that evidence one or more of the <br /> conditions; <br /> 1. A Homeless/At Risk Homelessness Certification <br /> Form completed by a service provider. <br /> 2. A written statement by a relevant third party or <br /> the written certification by referring agency staff <br /> of the oral verification by the relevant third <br /> party that the applicant meets one or more of <br /> the conditions; or <br /> 3. A written statement by the referring agency staff <br /> that the staff person has visited the applicant's <br /> residence and determined that the applicant <br /> meets one or more of the conditions or, if a visit is <br /> not feasible or relevant to the determination, a <br /> written statement by the referring agency staff <br /> describing the efforts taken to obtain the <br /> required evidence. <br /> 3. In addition, one or more of the following should be provided: <br /> a. A written documentation of observation by an outreach worker; <br /> b. A written certification by the household seeking assistance that <br /> demonstrates that the individual or head of household is currently <br /> homeless and living in a place not meant for human habitation, in <br /> an emergency shelter, or a safe haven. <br /> Senior/Elderly Disabled Certification <br /> A birth certificate or other official record of birth is the preferred form of age <br /> verification (must be at least 62 years of age or older). An original document that <br /> provides evidence of the receipt of social security retirement benefits is <br /> acceptable. <br /> In order to receive Disabled Disabling Condition preference,the Local Rent <br />