SET-ASIDE INFO AND SAMPLE LETTER
In accordance with the requirements of the current allocation, a portion of City SHIP funds must be set-aside for use by households including members with the following special needs as defined in Florida Statues:

• Developmental disabilities;
• Minors aging out of foster care;
• Disabling conditions; and/or
• SSDI/SSI or VA disability recipients.

Priority review will be given to eligible households including members with developmental disabilities. Documentation in the form of a letter from a physician or service provider is required. Required information to be included in the letter is provided below under Special Needs Documentation Letter. Please note the letter does not need to be explained or detail the type of special need(s) but does need to indicated the classification of special need(s) as one of the listed above and signed by the issuer. The information should be submitted on the physical or service provider’s letterhead along with all contact information (including name, address and phone number) of the physician or service provider. Service providers include, but is not limited to, a safety officer, case worker, treating physician, mental health care facility, law enforcement or similar professional service provider.

SAMPLE SPECIAL NEEDS DOCUMENTATION LETTER
I am a physician or service provider for NAME HERE, who is a member of a household applying for housing assistance through the City of Lauderhill’s Grant Program. The person named above qualifies as a special needs applicant under Florida Statues as a person who is:

 ___Developmentally disabled

___Aging out of foster care

___A survivor or domestic abuse

___Has a disabling condition

___Receives SSDI/SSI or VA disability benefits

Authorized Signature