Verification of Chronic Homelessness Documentation Checklist and Summary 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Head of Household (HoH) name and date at the top of the form. This identifies who is being assessed for chronic homelessness.
3. In the 'Referring Staff & Organization' section, provide details about the staff member assisting with this documentation, ensuring accurate representation.
4. Complete the VI-SPDAT Score field if applicable, as this score helps determine service needs.
5. For disability verification, check the appropriate box indicating the type of disability and attach any required third-party documentation to support your claims.
6. Fill out the Current Living Situation section by selecting where the HoH stayed prior to entering the program. Ensure that all necessary details are documented.
7. Document Homeless History by providing a timeline of housing situations over one year or three years, depending on eligibility criteria. Attach supporting documents for each episode.
8. Finally, ensure both the HoH and staff sign and date their respective sections to certify accuracy before submission.

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