CERTIFICATE OF HOMELESSNESS - bostonhousing.org 2026

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The document is a 'Certificate of Homelessness' form from the Boston Housing Authority, outlining the definition of homelessness, verification requirements for applicants seeking priority status for housing assistance, and instructions for completing the form. It specifies that individuals must lack a fixed, regular nighttime residence and provides criteria for medical conditions that may exempt them from shelter requirements. The form must be completed by an official with direct knowledge of the applicant's situation and includes sections for housing history and authorization for information release.

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Click ‘Get Form’ to open the CERTIFICATE OF HOMELESSNESS in the editor.
Begin by entering the applicant's name and Social Security number at the top of the form. This information is crucial for identification purposes.
In the section regarding current shelter arrangements, check the appropriate box that describes the applicant's living situation. If applicable, provide details such as shelter name and date entered.
Complete the housing history section by listing all addresses where you have lived in the past three years. Include reasons for leaving each residence.
Finally, ensure that an official from a public shelter or social service agency completes their part of the form, including their signature and agency details.

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2018	4.8 Satisfied (20 Votes)

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