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MSHMIS Street and Shelter Intake Form (3 917A) - mihomeless

MSHMIS Street and Shelter Intake Form (3 917A) - mihomeless 2025

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The MSHMIS Street & Shelter Intake Form (3.917A) is designed for use in street outreach, safe haven, and emergency shelter projects. It collects comprehensive household information, including personal details, demographics, health insurance status, homeless history, domestic violence experiences, income sources, and contact information. The form aims to assess the needs of individuals experiencing homelessness and facilitate access to necessary services.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do you get into a shelter in Massachusetts?

The first place to call if your family is looking for emergency shelter is Mass 211, a United Way multi-lingual hotline that provides information and referrals. Mass 211 can assist you in finding the closest office to apply for emergency state shelter.

Who is eligible for the EA shelter in Massachusetts?

You can apply if: Youre a resident of Massachusetts. Your familys gross income* is 115% or less of the Federal Poverty Guidelines (FPG) Youre pregnant or have children under 21.

Who is eligible for rapid rehousing in CT?

How can someone access Rapid Re-housing in Connecticut? In order to be eligible for RRH in the state of Connecticut, the individual must be literally homeless and be screened by United Ways 2-1-1 (Infoline). 2-1-1 will refer the caller to the Coordinated Access Network (CAN) site in their immediate interview.

How do you get into a shelter in CT?

To begin this process, persons experiencing homelessness or at imminent risk of homelessness must call 211 and dial #3 and #1 to speak to a contact specialist trained to assess housing needs.

What is considered homeless in CT?

Individual or family who lacks a fixed, regular, and adequate nighttime residence, meaning: Has a primary nighttime residence that is a public or private place not meant for human habitation; or.

How do I get into a shelter in NY?

Applying for shelter at an intake center is the first step in the process. 311 can provide you with intake center locations but does not provide the addresses of individual shelters. Reasonable accommodations can be requested during the intake process.

MSHMIS Street and Shelter Intake Form (3 917A) - mihomeless 2025

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