Are you sure you want to exit? Your progress will be lost.
Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
Moved mom into AL Did change of address but 1099 was returned to PO. Now we can't get info from SS office. We have POA have all her bills drafted from her account. Husband is co-owner of bank but now we can't get 1099 from SS office!
I think someone's given you wrong information on the post office's acceptance of a change of address form.
The first time my father was in a rehab facility to recover from a broken hip, I immediately went to the post office and got the forms to file a change of address. I was advised I'd need to prove I had authority to do so, so I came back with my DPOA.
Second time around, I just went directly to them with the DPOA in hand and got the change taken care of.
I have a feeling that the USPO might not honor change of address forms for SS specifically - it would be all too easy for a scam artist to do this and get personal information.
Thank you. We do have all her prior income tax forms my husband has done them for years, but wanted the exact figure to list on this years tax form. The PO returned it because they do not honor a change of address form we were told. Now we've received letter from her dr and hopefully with POA (which they do not accept) we can get the SS address changed. It is direct deposited in her account. We just needed total for the year and it turned out to be a nightmare. I understand there is fraud but for families of AL patients every dollar matters for her care.
1. Ask SS what documentation they require for their equivalent of a POA for an Alzheimer's patient. I'm not familiar with their labyrinthine ways, but there might actually be a way to use the existing POA as a tie-in to their own form.
2. If her SS is deposited directly, you at least know the net amount. Assuming she has Medicare, it's a standard amount depending on her income level. Add that amount to the net amount deposited and you'll get the gross amount for tax purposes.
3. SS and other governmental entities might not honor a change of address for government funding, but it sounds as if the mistake was at the post office's end. I don't understand this; the post office should have just delivered the mail to the AL. Have you had other problems with mail delivery?
4. This is more of a long shot, but do you have access to prior year's tax returns and SS 1099s? If so, use them as a base. I don't remember the miniscule amount by which SS was raised from 2014 to 2015, but you could likely find it by researching. Use that amount; research to determine how much SS was raised in 2015.
5. I believe you can order copies of back tax returns from the IRS. If they filed jointly, and her husband doesn't have copies, I'd order them. And that's another issue - if they did file jointly, he would have access to back returns and can gross up the SS from them, after factoring in the increase from 2014 to 2015. It was a percentage amount - I don't recall specifically what it was.
There also may be a prohibition on delivering government data such as a 1099 from SS to any change of address, probably to prohibit fraud, as that's been an issue with people who used to steal SS checks from mail boxes.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
The first time my father was in a rehab facility to recover from a broken hip, I immediately went to the post office and got the forms to file a change of address. I was advised I'd need to prove I had authority to do so, so I came back with my DPOA.
Second time around, I just went directly to them with the DPOA in hand and got the change taken care of.
I have a feeling that the USPO might not honor change of address forms for SS specifically - it would be all too easy for a scam artist to do this and get personal information.
2. If her SS is deposited directly, you at least know the net amount. Assuming she has Medicare, it's a standard amount depending on her income level. Add that amount to the net amount deposited and you'll get the gross amount for tax purposes.
3. SS and other governmental entities might not honor a change of address for government funding, but it sounds as if the mistake was at the post office's end. I don't understand this; the post office should have just delivered the mail to the AL. Have you had other problems with mail delivery?
4. This is more of a long shot, but do you have access to prior year's tax returns and SS 1099s? If so, use them as a base. I don't remember the miniscule amount by which SS was raised from 2014 to 2015, but you could likely find it by researching. Use that amount; research to determine how much SS was raised in 2015.
5. I believe you can order copies of back tax returns from the IRS. If they filed jointly, and her husband doesn't have copies, I'd order them. And that's another issue - if they did file jointly, he would have access to back returns and can gross up the SS from them, after factoring in the increase from 2014 to 2015. It was a percentage amount - I don't recall specifically what it was.
There also may be a prohibition on delivering government data such as a 1099 from SS to any change of address, probably to prohibit fraud, as that's been an issue with people who used to steal SS checks from mail boxes.