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HopeSource CHG subcontract DRAFT 062624
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08. August
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2024-08-20 10:00 AM - Commissioners' Agenda
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HopeSource CHG subcontract DRAFT 062624
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Last modified
8/15/2024 12:10:05 PM
Creation date
8/15/2024 12:08:28 PM
Metadata
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Meeting
Date
8/20/2024
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve a Professional Services Agreement between Kittitas County and HopeSource
Order
3
Placement
Consent Agenda
Row ID
121365
Type
Agreement
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<br />Page | 47 <br /> <br />10.3 Appendix C: Client File Documentation <br />The following chart summarizes the documentation required in each client file, depending on the type of service provided. Other documentation <br />may be required based on individual circumstances. CHG Required Forms are found on the Commerce CHG website. <br /> <br /> <br /> <br /> <br /> <br />Documentation Drop-in Shelter Continuous Stay <br />Shelter Transitional Housing Rapid Re-housing <br />Rent Assistance <br />Permanent <br />Supportive Housing <br />Homelessness <br />Prevention Rent <br />Assistance <br />Client File Checklist <br /> <br />HMIS Client Release of Information and Informed Consent <br />Form (unless DV OR client refuses consent) <br />DSHS 14-012(x)(REV 02/2003) for BVS, if applicable <br />CHG Verification of HH Eligibility and Income Recertification <br />Form (with associated documentation) If staying longer <br />than 90 days <br />CHG Income Eligibility Worksheet (or equivalent, where <br />applicable) If staying longer <br />than 90 days CHG Standard only <br />CHG Standard and <br />Eviction Prevention <br />only <br />Targeted Prevention Eligibility Screening Form <br />Rent Reasonableness Form, if applicable <br />Landlord Habitability Certification OR HHS or HQS as applicable <br />Lead-based Paint Assessment, if applicable <br />Utility-Only Assistance Form, if applicable <br />Lease OR Certification of Payment Obligation <br />Intent to Rent, if applicable <br />Household Rent subsidy amount / Rent determination <br />process <br />Assessment and Housing Stability Planning <br />Temporary Absence, if applicable
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