Status 02 - IL Applicant
~Application Documents
~Application Documents
Below are the documents contained in the IL application packet. Not all documents are currently available for download. If you require a document that is not downloadable, contact your support staff.
Application for Independent Living Services (Word Document).
Application for Independent Living Services (Word Form).
Health Assessment Questionnaire.
IDB’s Applicant’s Rights and Responsibilities Statement.
Voter Registration Information. (Go to the Iowa Secretary of State web site for Voter Registration form in other languages.)
Iowa Client Assistance Program Brochure.
University of Iowa Hospitals Consent to Release of Information
Authority for Release and Exchange of Information.