Central Coast Commission for Senior Citizens

Independent Living Facilties Update Form

Please complete the following form to update your current listing. For any information that has not changed you may enter NA. Some one from AAA will confirm your update and clarify any information. Thank you for assistance

* (denotes required field)

Name:*

E-Mail Address:*

Facility Name*

Physical Address (NA if no change)*

Mailing Address (If Different)

Contact Person and Phone Number (NA if no change)*

Website

Do you have a waiting list?*

Yes
No
Closed

Approximate waiting list time:

Do you accept Section 8 Vouchers?*

Yes
No

Are Pets Considered:*

Yes
No

Rent Range (Low to High) (NA if no change)*

Total # of Units

# of studio

# 1 Bedroom

#2 or more bedrooms

Description of facility amentities (NA if no change)*

Is the facility age restriced?*

55 and older
62 and older
No age restriction

Which of the following best describes your facility:*

Senior Apartments (age restricted community with no care included)
Independent and Assisted Living (facility offers both options on the same site)
Continuing Care Retirement Community
Subsidized Housing: Public Housing Authority (property is managed by the local HUD Housing Authority)
Subsidized: Privately Owned (Facility offers income determined subsidies to residents)

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