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individual or head of household that the oral <br /> statement is true and complete, and, where the <br /> safety of the individual or family would not be <br /> jeopardized, the domestic violence, dating <br /> violence, sexual assault, stalking or other <br /> dangerous or life- threatening condition must be <br /> verified by a written observation by the intake <br /> worker or a written referral by a housing or <br /> service provider, social worker, health-care <br /> provider, law enforcement agency, legal <br /> assistance provider, pastoral counselor, or any <br /> other organization from whom the individual or <br /> head of household has sought assistance for <br /> domestic violence, dating violence, sexual <br /> assault, or stalking . The written referral or <br /> observation need only include the minimum <br /> amount of information necessary to document <br /> that the individual or family is fleeing, or <br /> attempting to flee domestic violence, dating <br /> violence, sexual assault, and stalking . <br /> (c) Disability . - Each recipient of <br /> assistance under this part must maintain and <br /> follow written intake procedures to ensure that <br /> the assistance benefits persons with disabilities, <br /> as defined in § 582 . 5 . In addition to the <br /> documentation required under paragraph ( b), <br /> the procedures must require documentation at <br /> intake of the evidence relied upon to establish <br /> and verify the disability of the person applying <br /> for homeless assistance. The recipient must <br /> keep these records for 5 years after the end of <br /> the grant term . Acceptable evidence of the <br /> disability includes : <br /> ( 1 ) Written verification of the disability from <br /> a professional licensed by the state to diagnose <br /> and treat the disability and his or her <br /> certification that the disability is expected to be <br /> long -continuing or of indefinite duration and <br /> substantially impedes the individual 's ability to <br /> live independently; Written verification from the <br /> Social Security Administration ; <br /> ( 2) The receipt of a disability check ( e . g . , <br /> Social Security Disability Insurance check or <br /> Veteran Disability Compensation ); <br /> ( 3 ) Intake staff- recorded observation of <br /> disability that, no later than 45 days of the <br /> application for assistance, is confirmed and <br /> accompanied by evidence in paragraph ( c)( 1 ), <br /> ( 2 ), ( 3 ) , or (4 ) of this section ; or <br /> (4) Other documentation approved by HUD. <br /> www , hud. gov espanol . hud. gov p1ge 11 <br />