Franklin, MO · Howard County
Temporary Medical Hardship Agreement
This agreement is for an applicant seeking temporary permission to place a mobile home on a property for an immediate family member with a medical hardship.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The applicant provides property and contact details, identifies the mobile-home occupant and their relationship, and agrees to conditions for the temporary arrangement. The form calls for a completed application, sketch plan, physician’s letter, general warranty deed, and application and recording fee. It says the mobile home must be removed within 60 days after the hardship ends and requires proof of medical need at application and every two years afterward.
Who needs it
A property occupant seeking temporary permission to place a mobile home on the property for an immediate family member with a medical hardship should complete this agreement.
Why it needs a notary
The form includes a Missouri acknowledgment stating that the applicant personally appeared and acknowledged signing the agreement as their free act and deed.
How to get this notarized
- 1
Download the Agreement
Get the Temporary Medical Hardship Agreement and its applicant/signer information addendum.
- 2
Fill In the Application Details
Complete the applicant, property, and mobile-home occupant information, and review the eligibility statement and conditions.
- 3
Gather Supporting Materials
Prepare the completed application, sketch plan, physician’s letter, general warranty deed, and application and recording fee listed on the form.
- 4
Book an Online Notary
Arrange an appointment with a commissioned online notary for the acknowledgment.
- 5
Sign on Video
Personally appear for the online notarization and sign the agreement when directed by the notary.
- 6
Submit to the Department
Submit the completed agreement and listed materials to the planning and zoning department as instructed.
Preview the form
The blank PDF straight from Franklin. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Temporary Medical Hardship Agreement?
- Fill in the applicant, property, and occupant information, review the eligibility statement and conditions, and gather the listed application materials. Sign the agreement during your notary appointment, then submit it as instructed by the planning and zoning department.
- Do I need to sign the agreement in front of a notary?
- Yes. The form includes an acknowledgment for the applicant’s signature, to be completed when the applicant personally appears before a notary.
- Can I sign this form with an online notary?
- Missouri authorizes remote online notarization by a commissioned online notary. Check that the receiving department accepts the notarized document in this format before booking.
- What supporting materials does the form list?
- The form lists a completed application, sketch plan, physician’s letter, general warranty deed, and application and recording fee. It also requires proof of medical need at application and biennially afterward.
- Where should I submit the completed agreement?
- The form identifies the Franklin County Planning and Zoning Department and lists application materials to submit. For submission instructions or to clarify which office handles your request, confirm with the city or town if unsure.