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Click ‘Get Form’ to open the homelessness verification form in the editor.
Begin with Section 1: Referral. Fill in the applicant's name, date of birth, and contact number. Indicate if the applicant is a single adult or head of household and provide their HMIS ID if applicable.
In Section 2: Disability Documentation Checklist, select the appropriate method for verifying disability status. Ensure you have third-party documentation ready as required.
Proceed to Section 3: Time Accumulation Worksheet. Document the applicant's periods of homelessness, ensuring to note start and end dates along with methods of verification.
Complete Section 4: Chronic Homelessness Determination by selecting the appropriate status based on your findings and signing off as necessary.
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Note: One documented encounter, physical observation of living situation, or HMIS record indicating homelessness within a month is sufficient to verify homelessness for the entire calendar month as long as there is no other evidence indicating a break in homelessness for that month.
What is an example of proof of homelessness?
An identification (ID) card, driving licence, birth certificate or passport. Evidence youre homeless or facing homelessness. For example, an eviction letter from your landlord or a letter from the person you were living with explaining that you can no longer stay there.
Do you have to prove homelessness?
You dont need to prove you are homeless on the FAFSA form, but your college will need this proof. Ask your high school teachers or counselors to help you get the paperwork you will need. Colleges need to know that you are truly independent of your parents. They will ask for a homeless youth determination letter.
How is chronic homelessness defined by the government?
A chronically homeless individual is defined to mean a homeless individual with a disability who lives either in a place not meant for human habitation, a safe haven, or in an emergency shelter or in an institutional care facility if the individual has been living in the facility for fewer than ninety (90) days and
What is a certificate of homelessness?
This document is to certify the individual or household named below is currently homeless based on the category checked and required documentation.
homelessness packet
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People also ask
What is a verification of homelessness?
This verification is used to show that the individual meets the Chronically Homeless criteria. Documentation. In completing a homeless verification letter, there needs to be documentation showing how long the. individual has been experiencing homelessness.
How to prove chronic homelessness?
Generally, this is the priority order for establishing a persons chronic homelessness status: 3rd-party documentation. HMIS/comparable database record, or. Intake worker observation. Written observation by outreach and/or intake worker of encounters with person/household (must include description of living conditions)
homelessness verification template
Homeless Verification Form - Prevention
Instructions: Identify the housing status applicable to the participant household below and indicate the attached documentation for that housing status.
Please complete and submit page 2, Homeless Youth Certification Request, along with any supporting documentation, with this Verification Form. □ Not Homeless
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