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PSA Kittitas County and Hopesource
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Meetings
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2024
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08. August
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2024-08-20 10:00 AM - Commissioners' Agenda
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PSA Kittitas County and Hopesource
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Entry Properties
Last modified
10/2/2024 4:00:05 PM
Creation date
10/2/2024 3:59:18 PM
Metadata
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Template:
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
Fully Executed Version
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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C: Ctient File Docsmcntatlon10.3 <br />The followin g 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 Fo rms are found on the Commerce CHG website. <br />Page | 47 <br />OroFln Shclte? <br />Contlnuous Stay <br />Shcltet ?ransltlonal Houslng <br />Rrpld R+houJng <br />nen! A$lstancB <br />tannanenl <br />Supportive tiourlng <br />Hmelessnesr <br />hventlon Rent <br />Asslstanco <br />Cllent Flls <br />HMIS Clcnt ot ild Consent <br />oSHS t4{lz(xllREv 0120031 fo, Bvt ll rppllcable <br />od I'lH lncoma Rrclttmcatlon tf rtaylng longer <br />than 90 davs <br />CHG lncoms Ellglblllty Wortsheet lot oquivale.l, where <br />apdlcablcl <br />lf staylng longer <br />than 90 days <br />CHG Standsrd only <br />ctG snd <br />Egiction Preventlon <br />Targeted Preventlon €llglbmtyscteenlng Form <br />Rent Rcasonablene3s Fottlr, lt tppflcible <br />t ndlord H,abtt bflty Ceftmcatlon oR HHSo'HQS <br />/ as apglicable <br />lead-lased Palnl Asse3smcnl, f appllcable <br />Utillty-onh Asslsttnce Fom, ff ap9llcable <br />teass glLcertmcatlon ot payment Obllgatlon <br />htent to nent, r rppllcabl€ <br />Household Rent subsldy anount / Rcnt determlnatlon <br />otocess <br />Assessment tnd HousinS SlabflitY Planning <br />TempoEry Absence, f aPplicable
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