Hr3037 2025

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73 votes

The document is a form used for collecting personal information related to housing assistance under the Employment and Assistance Act. It is intended for clients who do not have a tenancy agreement and includes sections for client and landlord information, rental details, and verification of living arrangements. The form emphasizes that it is not a tenancy agreement and outlines the responsibilities of both clients and landlords regarding rent payments and documentation.

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Click ‘Get Form’ to open hr3037 in the editor.
Begin by filling out the Shelter Information section, entering the Case Number and SR Number as required.
In the Client Information section, provide your legal name, birthdate, current date, and contact details. Ensure accuracy for effective processing.
Indicate your renting status by completing the address fields including unit number, street address, city/town, and postal code.
Select one of the three sections (A, B, or C) that best describes your rental situation. Fill in relevant details such as total rent and client’s portion of rent.
Complete the Landlord Information section with the landlord's name, address, and contact number. If applicable, include their signature and date.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (31 Votes)
2015	4.2 Satisfied (73 Votes)

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What can shelter be provided for?

Shelter is a basic human need crucial for survival in cases of natural hazards or conflict. It provides security, personal safety and protection from the weather, and prevents ill health and disease. Adequate housing provides people with dignity and the opportunity to lead a normal life.

How do I get emergency housing assistance in PA?

Pennsylvania 211 From help with a utilities bill, to housing assistance, after-school programs for kids, and more, you can dial 211 or text your zip code to 898-211 to talk with a resource specialist for free.

What is shelter form?

What is a shelter verification form? The LDSS-3668: Shelter Verification form is designed to be completed by the landlord or property owner, when necessary to verify residency and shelter expenses.

shelter verification form bc

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What is considered homeless in PA?

A family or student is considered homeless under the McKinney-Vento definition if they are in any of these places or situations: Public or private shelters Public or private places not designated for, or ordinarily used as, regular sleeping accommodations such as vehicles, parks, motels, campgrounds, etc.

What are the two types of shelters?

Types of Shelter Permanent shelter: The places where humans or animals live for very long duration and spend most of their lifetime becomes their permanent shelter. Temporary shelter: The places where humans or animals live only for short duration and for specific purposes are called temporary shelter.

What is the Housing Survivors of Major Disaster Act?

The Housing Survivors of Major Disasters Act would: Allow for disaster relief funds to be used for the acquisition of a property title in regions where a natural disaster is declared by the president.