Blank official form
The embedded document is the blank two-page Service Verification and Preauthorization Form supplied by Grace.
Housing help form
Use this blank two-page form to organize a request for service verification and preauthorization. Completing the PDF does not submit it to Grace or guarantee eligibility, authorization, funding, or housing.

Before you begin
You can type into the PDF in a compatible browser or PDF application. Grace’s website does not collect, save, or transmit what you enter inside the document.
The embedded document is the blank two-page Service Verification and Preauthorization Form supplied by Grace.
Entries remain in your browser or saved PDF copy; they are not sent through this webpage.
Call Grace before sending the completed form or required attachments so the team can explain the current secure submission method.
Fillable PDF · 2 pages
Type into the highlighted fields, then use your PDF viewer to save or print a completed copy.
How to use the document
The form mentions photographs and verification documents. Those files are not uploaded through this webpage.
Read both pages and gather only the information and documentation that applies to the request.
Enter the requested details. Check names, dates, contact information, and every completed field before saving.
Use the PDF viewer’s save or download control, reopen the file, and confirm that the completed entries are present.
Call 908-365-1327 to confirm whether the form is appropriate and how to return it and any required attachments securely.
Questions before you begin?
A conversation can clarify the next step, but it does not guarantee eligibility, authorization, funding, placement, or housing availability.