Permanent Supportive Housing Forms.
For any form with a signature and date line, the case manager should review with the participant, make a copy for HMIS/hard file and leave the original with participant. If there is no signature and date line, the form should be reviewed with participant and left with them. No copy is needed.
PSH Program Intake Forms
PSH Case Manager Workflow and Forms Checklist
PSH Participant Handbook
Welcome Handbook for new participants enrolling into a PSH Program. Includes Program Overview, Roles and Responsibilities, and Acknowledgment form. To be reviewed with participant at enrollment.
HUD VAWA Notice with Certification Form
Review with participant during enrollment and provide them with a copy for their records.
HUD Fair Housing Notice
Review with participant during enrollment and provide them with a copy for their records.
HMIS ROI
If an HMIS ROI is not already active in HMIS, complete during enrollment, have each adult sign, then upload into HMIS.
HMIS Program Enrollment Form - PSH Adult
To be completed with each adult in the household; once completed transcribe data into HMIS Program Enrollment.
HMIS Program Enrollment Form - Minors
To be completed with each minor in the household, once completed transcribe data into HMIS Program Enrollment.
Housing Needs Form - Paper version
To be completed during intake and transcribed into an electronic version (see below for electronic link) if HSN is paying monthly rent for participant.
hlthousingneeds.com
Self Sufficiency Matrix
To be completed with the head of household at part II of the intake and every 90 days after
Housing Stability Plan
To be completed with the head of household, the participant must keep the original and provider takes a copy for the hard file and upload into HMIS
PSH Ongoing Housing Supports
Where to search for your new unit
Guide to give participants to help in their search for housing.
Qualifying a potential unit
Case Managers and participants can use this to gather details on units that work with the program to provide to HLT for follow up.
2022 Allowable Rent
Guide on the maximum amount of rent HSN can pay for a unit in accordance with our current grant cycle
Reasonable Accommodation Request
Welcome Home Form
Form to help tenants note and remember important lease information
Bridge Housing Forms:
Guest Policy
To be completed with the head of household, the participant keeps the original and provider takes a copy for the hard file and upload into HMIS
Rent Calculation Form
To be completed if HSN is paying monthly rent for participant. Compete after lease signing or anytime after where there is a change to rent amount, household composition or household income. Email to HLTFinance@hsncfl.org.
Monthly Budget
To be completed monthly with the head of household. Download into excel for functions to work. Save copy in HMIS or hard file.
Area Median Income Limits 2022 - 2023
At annual recertification, participants must be under 50% AMI in order to maintain income eligibility.
Participant Acknowledgement Form - Annual Recertification
To be reviewed and completed with participant at the annual recertification. Case Manager may revisit sections of the Participant Handbook if needed.
HQS Inspection Planning Checklist
Helpful tool for Landlords or Case Managers to use in preparing a unit for an upcoming inspection
Notice of Abandonment of Housing Unit
To be placed on tenant's door if they have not occupied their unit for more than 2 weeks and have not notified Case Manager or landlord
PSH Exit Forms and Guides
Reminder of Participant Responsibilities Letter
To be used when participant is not following participant responsibilities as outlined in Participant Handbook. Case Manager should always address issues verbally, and follow up with this letter to document the conversation.
Exit Planning Worksheet
Exit Planning Worksheet - optional tool to help with Exit Planning with participants
PSH Program Exit Notice
Program Exit Notice - this letter should be used when it has been determined that the participant is being exited from your program.