Pasadena, TX · Harris County
Verification of Disability (Spanish)
This Spanish-language form verifies a CDBG applicant’s disability status for Pasadena’s Community Development Department and its subrecipient agencies.
What this form is
The form documents disability eligibility for the CDBG program and provides three verification methods: an obvious disability, federal disability benefits, or certification by a medical professional. The applicant selects one method and provides its required documentation. It also includes authorization and certification sections, including signatures from the applicant and a CDBG program representative.
Who needs it
CDBG applicants whose disability status must be documented for program eligibility, along with a medical professional when that verification method is selected.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed without a notary; it includes a statement under penalty of perjury, and a medical professional’s certification may be required.
How to submit this form
- 1
Download The Form
Download the Spanish-language Verification of Disability form.
- 2
Complete The Applicant Details
Fill in the program name and applicant information requested on the form.
- 3
Select A Verification Method
Choose one of the three listed methods and provide the documentation required for that method.
- 4
Gather Any Required Certification
If using medical professional certification, have a medical professional complete the applicable section.
- 5
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What is the Verification of Disability form for?
- It documents a CDBG applicant’s disability status for program eligibility using one of the verification methods listed on the form.
- What verification methods does the form offer?
- The form lists an obvious disability, receipt of federal disability benefits, or certification by a medical professional. Select one method and provide its associated documentation.
- Do I need a notary for the Verification of Disability form?
- No. The form is signed without a notary. It does include a statement under penalty of perjury, and medical professional certification may be required depending on the method selected.
- How do I submit the Verification of Disability form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Verification of Disability (Spanish) doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.