Skip to main content
Header Top Menu
SHA Portal
News
News releases
The Voice
Building Community
Work at SHA
Jobs
Benefits
Total Rewards
Contact us
Mobile Search
Search
Main menu
Housing
SHA Housing
Eligibility
Income level - Low Income Public Housing
Income level - Seattle Senior Housing
Match properties tool
How many bedrooms is my household eligible for?
Properties
Search by property name
Application instructions
Save my Spot
Housing Choice Vouchers
Eligibility
Income level - Housing Choice Voucher program
How to apply for a Housing Choice Voucher
Frequently Asked Questions - Housing Choice Voucher application
How to apply - translations
Save my Spot
Renting with a voucher
Orientation
Find rental listings
Leasing a unit
Neighborhood Guide
Voucher payment standards
Family Access Supplement
Utility estimates
Moving
Income and family changes
Termination
Multi-Family Tax Exemption Program
Reviews and inspections
Orientation
Rights and responsibilities
Landlords
Benefits of the program
How to participate
List your rental
Leasing
Rents and Payments
How to request a rent increase
Reviews and inspections
Rights and responsibilities
SHA Portal
List your rental with SHA
Administrative Plan and Policies
Forms
Special Purpose Vouchers
Creating Moves to Opportunity
Family Unification Program
Foster Youth to Independence program
Veterans Affairs Supportive Housing
Collaborative Housing
Program overview
Eligibility
Income level - Collaborative Housing
Partner housing providers
Information for providers
Mod Rehab forms
Project-based forms
Supportive services
Education and job training
JobLink
JobLink Program Overview
Workplace Communication/Job shadowing
Industrial Sewing
Construction training
JobLink Interest Form
Preschool
K-12 education
Programs for youth
Technology training
SHA Digital Navigator Program
Scholarships
Health and social services
Resources
2-1-1 Information network
Childcare
Citizenship
Financial Resources
Legal services
Neighborhood Guide
Non-SHA housing resources
Pest control: Bed bugs
Rent assistance
Security deposit
Social Security
Tax help
Technology
Transportation
Utility bill assistance
Veterans
Voter registration
Current tenants
SHA Housing tenants
Paying rent
Paying utilities - SHA Housing tenants
Get involved in your community
Housing Choice Voucher tenants
Do Business with us
Solicitations
Contracting
Construction and maintenance
Consulting and professional services
Goods and supplies
Interlocal Agreements
Disadvantaged businesses
Prevailing wage compliance
Other business
Payment and invoices
Forms and policies
Landlords
About Us
Leadership
Board meetings
Executive staff
Overview
Stories
Departments
Environmental stewardship
Race and social justice
History
Redevelopment
High Point redevelopment
Lake City Court redevelopment
Lake City Court development plan
NewHolly redevelopment
Rainier Vista redevelopment
Salish Landing
Yesler redevelopment
Reports
Annual reports
Annual Highlights
Strategic Plan
Budget
Financial reports
Moving to Work reports
Awards
SHA Portal
News
The Voice
Building Community
Search
Search events
Work at SHA
Jobs
Job openings
Job class specifications
Section 3 jobs
Volunteering and Internships
Recruitment Announcements
Employee benefits
For new hires
Health insurance
Medical
Dental
Vision plan
Flexible Spending Account
Optional insurance
Accidental Death and Dismemberment Insurance
Housing Authority Insurance Group Life Insurance
Life insurance
Long Term Care
Long Term Disability
Changing benefits
Adding or removing dependents
Death in the family
Leaving SHA
Beneficiary Forms
Employee Assistance Program
Employee Discounts
Retirement
Public Employees Retirement System
Retiree medical plan
Washington Deferred Compensation Program
Legal notices
Transparency in Coverage
Total Rewards
Contact Us
You are here
Home
Mod-Rehab Medical Expenses Declaration Generic
Document File:
Mod-Rehab Medical Expenses Declaration
Printer-friendly version
Printer-friendly version