Common use of Where I Live and Community Living Clause in Contracts

Where I Live and Community Living. I DO _X_ / DO NOT want help with decisions about where I live and how I live in my community. Here is a list of people I want to help me: First and Last Name Relationship Home Address Email Phone Number Xxxx Xxxxx Dad 000 Xxxx Xx., Xxxxxxxx, XX 00000 Xxxx.x.xxxxx@xxxxx.xxx 000-000-0000 Xxxx Xxxxx Mom 000 Xxxx Xx., Xxxxxxxx, XX 00000 Xxxx.xxxxx0@xxxxx.xxx 000-000-0000 Xxxxxxx Xxxxx ABATherapist 00 Xxxxxx Xx,Xxxxxxxx, VA 23113 xxxxxxxxx@xxxxx.xxx 000-000-0000 *To add a new row, place cursor in bottom right box and press Tab. These supporters can help me in these ways: Write Y for “yes” or N for “no” to say if your Supporters can or cannot help with each option. _N_ Get and look at information about places where I have lived. All Supporters/ Only Supporters Listed Here: _Y_ Help me decide where to live. _X_ All Supporters/ Only Supporters Listed Here: _Y_ Help me decide who to live with. _X_ All Supporters/ Only Supporters Listed Here: _Y_ Help me understand chores, remind me to do chores, and help me do chores. _X_ All Supporters/ Only Supporters Listed Here: _Y_ Help me understand any leases I am thinking about, and help me understand any rules of my home and community. _X_ All Supporters/ Only Supporters Listed Here: _Y_ Help me make safe choices around the house (for example, turning off the stove, practicing for fire alarms). _X_ All Supporters/ Only Supporters Listed Here: _N_ Help me make decisions about what to do and where to go in my free time. All Supporters/ Only Supporters Listed Here: _Y_ Help me make decisions about transportation, and help me use transportation. _X_ All Supporters/ Only Supporters Listed Here: _Y_ Help me with understanding, finding, hiring, and firing support staff and services. _X_ All Supporters/ Only Supporters Listed Here: _N_ Help me make decisions about traveling to places I go often (for example, getting to stores, work, friends’ homes). All Supporters/ Only Supporters Listed Here: _Y_ Help me make decisions about traveling to places I do not go often (for example, special events, vacations). _X_ All Supporters/ Only Supporters Listed Here: _N_ Help me tell people what I want and what I don’t want regarding where I live and what I do in my community. All Supporters/ Only Supporters Listed Here: _N_ Help me tell people how I make choices about where I live and what I do in my community. All Supporters/ Only Supporters Listed Here: _Y_ Make sure people understand what I am saying about my choices and decisions regarding where I live and what I do in my community. _X_ All Supporters/ Only Supporters Listed Here: To help me with where I live and my community these supporters may also do these things: (Examples: Help me explore other ways to spend my days, talk directly to my paid supports, talk directly to my roommates)

Appears in 3 contracts

Samples: dbhds.virginia.gov, townhall.virginia.gov, townhall.virginia.gov

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Where I Live and Community Living. I DO _X_ / DO NOT want help with decisions about where I live and how I live in my community. Here is a list of people I want to help me: First and Last Name Relationship Home Address Email Phone Number Xxxx Xxxxx Dad 000 Xxxx Xx.*If more than 3 Supporters, Xxxxxxxx, XX 00000 Xxxx.x.xxxxx@xxxxx.xxx 000-000-0000 Xxxx Xxxxx Mom 000 Xxxx Xx., Xxxxxxxx, XX 00000 Xxxx.xxxxx0@xxxxx.xxx 000-000-0000 Xxxxxxx Xxxxx ABATherapist 00 Xxxxxx Xx,Xxxxxxxx, VA 23113 xxxxxxxxx@xxxxx.xxx 000-000-0000 *To add a new multiple Supporters can be typed in each row, place cursor in bottom right box and press Tab. These supporters can help me in these ways: Write Y for “yes” or N for “no” to say if your Supporters can or cannot help with each option. _N_ / Get and look at information about places where I have lived. All Supporters/ Only Supporters Listed Here: _Y_ / Help me decide where to live. _X_ All Supporters/ Only Supporters Listed Here: _Y_ / Help me decide who to live with. _X_ All Supporters/ Only Supporters Listed Here: _Y_ / Help me understand chores, remind me to do chores, and help me do chores. _X_ All Supporters/ Only Supporters Listed Here: _Y_ / Help me understand any leases I am thinking about, and help me understand any rules of my home and community. _X_ All Supporters/ Only Supporters Listed Here: _Y_ / Help me make safe choices around the house (for example, turning off the stove, practicing for fire alarms). _X_ All Supporters/ Only Supporters Listed Here: _N_ / Help me make decisions about what to do and where to go in my free time. All Supporters/ Only Supporters Listed Here: _Y_ / Help me make decisions about transportation, and help me use transportation. _X_ All Supporters/ Only Supporters Listed Here: _Y_ / Help me with understanding, finding, hiring, and firing support staff and services. _X_ All Supporters/ Only Supporters Listed Here: _N_ / Help me make decisions about traveling to places I go often (for example, getting to stores, work, friends’ homes). All Supporters/ Only Supporters Listed Here: _Y_ / Help me make decisions about traveling to places I do not go often (for example, special events, vacations). _X_ All Supporters/ Only Supporters Listed Here: _N_ / Help me tell people what I want and what I don’t want regarding where I live and what I do in my community. All Supporters/ Only Supporters Listed Here: _N_ / Help me tell people how I make choices about where I live and what I do in my community. All Supporters/ Only Supporters Listed Here: _Y_ / Make sure people understand what I am saying about my choices and decisions regarding where I live and what I do in my community. _X_ All Supporters/ Only Supporters Listed Here: To help me with where I live and my community these supporters may also do these things: (Examples: Help me explore other ways to spend my days, talk directly to my paid supports, talk directly to my roommates) These supporters MAY NOT do these things to help me with where I live and my community: (Examples: May not change where I live without my consent, may not decide how I spend my days, may not speak with my paid supports without my consent)

Appears in 2 contracts

Samples: dbhds.virginia.gov, dbhds.virginia.gov

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