№ files_lp_3_process_7_058823
File format: docx
Character count: 8791
File size: 50 KB
Standardized intake form used within U.S. homeless services programs to record client demographic information, prior living situation, homelessness history, income, benefits, and housing status at project entry.
Year:
FY24
Program:
CARES Collaborative
Data System:
Homeless Management Information System (HMIS)
Programs Covered:
Supportive Services for Veteran Families (SSVF); Rapid Re-Housing (RRH)
Document Type:
Client Intake Form
Applicable To:
All Clients and Household Members; Adults and Heads of Household
Geographic Scope:
United States
Administering Context:
Homeless Services and Housing Assistance Programs
Required Accompanying Forms:
CCHMIS Client Inclusion Disclosure; Release of Information
Data Elements:
Universal Data Elements; Prior Living Situation; Chronic Homelessness History; Income and Benefits; Health Insurance Coverage
Intended Use:
Project Entry Documentation
Price: 8 / 10 USD
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Year:
Not specified
Region / City:
Not specified
Subject:
Rapid Rehousing (RRH) program documentation and eligibility forms
Document Type:
Internal program guideline
Agency / Institution:
Not specified
Author:
Not specified
Target Audience:
Staff involved in RRH program administration
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2023
Region / City:
United States
Topic:
Emergency Housing Assistance for Veterans
Document Type:
Program Guidelines
Organization:
U.S. Department of Veterans Affairs
Author:
U.S. Department of Veterans Affairs
Target Audience:
Veterans, SSVF Grantees, VA and community partners
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2020
Region / City:
United States
Theme:
Emergency Housing Assistance, COVID-19 Response
Document Type:
Referral Form
Author:
SSVF
Target Audience:
Veterans, SSVF Grantees, Community Stakeholders
Action Period:
During COVID-19 Pandemic
Approval Date:
N/A
Date of Changes:
N/A
Context:
A referral form used for Emergency Housing Assistance under the SSVF program during the COVID-19 crisis, outlining eligibility and procedures for providing temporary housing to at-risk Veterans.
Note:
Year
Year:
2020
Region / City:
United States
Theme:
Emergency Housing Assistance, COVID-19, Veterans, SSVF
Document Type:
Memorandum
Organization:
Department of Veterans Affairs (VA)
Author:
Not specified
Target Audience:
SSVF grantees, VA medical centers, Veterans
Period of Action:
30 days, starting March 17, 2020
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2023
Region / City:
United States
Subject:
Veteran Services
Document Type:
Affidavit
Organization:
U.S. Department of Veterans Affairs
Author:
Not specified
Target Audience:
Veterans, SSVF Agencies, Case Managers
Effective Period:
Pending Veteran Status Verification
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2023
Region / City:
United States
Topic:
Veteran Services
Document Type:
Case File Tool
Organization / Institution:
U.S. Department of Veterans Affairs
Author:
Unknown
Target Audience:
Case Managers, Service Providers for Veterans
Period of Validity:
Ongoing
Date of Approval:
Unknown
Date of Changes:
Unknown
Year:
2021
Region / City:
United States
Topic:
Housing, Veterans Support
Document Type:
Program Overview
Agency / Institution:
Supportive Services for Veteran Families (SSVF)
Author:
SSVF Program Office
Target Audience:
Veterans, Housing Providers, Community Stakeholders
Period of Activity:
Starting from 2019, ongoing
Approval Date:
August 5, 2021
Date of Changes:
Not specified
Year:
2025
Region / City:
Nationwide
Topic:
Homelessness, Veterans Support
Document Type:
Announcement, Update
Organization:
U.S. Department of Veterans Affairs
Author:
Adrienne
Target Audience:
SSVF Grantees, Veterans Service Providers
Effective Period:
May 2025 - September 2025
Approval Date:
May 2025
Amendment Date:
N/A
Year:
2023
Program:
KC VA Services
Region/City:
King County, WA
Document Type:
Status Form
Target Audience:
Individuals receiving VA services, case managers
Date of Issue:
Not specified
Date of Last Revision:
Not specified
Relevant Programs:
HUD VASH, SSVF, GPD
Keywords:
Domestic violence, physical disability, mental health, substance abuse, housing status, income
Context:
A status form used to collect information from individuals applying for VA services, including domestic violence history, health conditions, and housing details.
Note:
Year
Note:
Year
Topic:
Veteran support services
Document Type:
Survey
Organization / Institution:
Department of Veterans Affairs (VA)
Target Audience:
Veterans and their families
Year:
2015
Region / City:
Not specified
Topic:
Coordination of SSVF Program among Grantees
Document Type:
Guide/Tool
Agency/Institution:
Supportive Services for Veteran Families (SSVF)
Author:
Not specified
Target Audience:
SSVF grantees, Regional Coordinators
Period of Validity:
2015
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
2025
Country:
United States
Organization:
U.S. Department of Veterans Affairs
Sub-organization:
Veterans Health Administration (VHA)
Office:
Homeless Programs Office (HPO)
Program:
Supportive Services for Veteran Families (SSVF)
Document type:
Interview guide
Version:
1.0
Date updated:
February 21, 2025
Publication platform:
VA News
Target audience:
VA staff and interviewers preparing stories about Veterans
Subject:
Veteran homelessness and reintegration
Purpose:
Collecting personal narratives from Veterans who participated in SSVF programs
Structure:
Five-part storytelling framework covering military service, homelessness, assistance from VA, current situation, and future goals
Year:
Not specified
Region / City:
Not specified
Subject:
Rapid Rehousing (RRH) program documentation and eligibility forms
Document Type:
Internal program guideline
Agency / Institution:
Not specified
Author:
Not specified
Target Audience:
Staff involved in RRH program administration
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2013-14
Region / City:
Mizoram
Subject:
Health Data Analysis
Document Type:
Report
Organization / Institution:
National Health Systems Resource Centre
Author:
Dr. Sandhya Ahuja
Target Audience:
District level Programme Managers
Approval Date:
June’14
Date of Last Update:
N/A
Year:
2024
Region / City:
Nebraska
Topic:
Homelessness, Point-in-Time Count
Document Type:
Procedure
Organization:
CCFL
Author:
Not specified
Target Audience:
Clarity HMIS System Administrators, Housing Projects, Non-Clarity HMIS Users, Street Outreach Staff
Period of Validity:
January 23, 2024 – February 9, 2024
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2026
Region / City:
Not specified
Subject:
Homelessness, Housing Services
Document Type:
Enrollment Form
Organization:
RHY Program
Author:
Not specified
Target Audience:
Service providers for homeless youth
Duration:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified