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Assessing Scheduling Form

  1. Assessing Department Scheduling Form
    Residents may send information to assist in scheduling assessing appointments.
  2. Please provide the property ID number as listed on your blue door tag/postcard/other letter or communication.

  3. Please provide the best phone number to reach you during daytime hours.
  4. Please indicate your first choice of date and time for appointment. Assessing staff schedule appointments for 30 minutes. Once staff arrives, they will spend 5-10 minutes in your home.
  5. Confirmation
    Staff will confirm your appointment date and time. Please indicate your preferred choice of confirmation (phone or email).
  6. Appointment Confirmation Preference
  7. Leave This Blank:

  8. This field is not part of the form submission.