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PSA Between KCPHD and HopeSource Cold Weather Shelter (2)
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2024-11-19 10:00 AM - Commissioners' Agenda
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PSA Between KCPHD and HopeSource Cold Weather Shelter (2)
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Last modified
12/3/2024 3:31:33 PM
Creation date
12/3/2024 3:30:27 PM
Metadata
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Template:
Meeting
Date
11/19/2024
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 for the 2024/2025 Temporary Cold Weather Shelter
Order
2
Placement
Consent Agenda
Row ID
124307
Type
Contract
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10.3 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 />Page | 47 <br />DroFln Shelter Contlnuo$ Stay <br />Shelter Transltlonal Houslng R.pld R€-hou3lng <br />ftent Assistance <br />Pormanenl <br />Suppodve Houslng <br />Homelessnesr <br />Preventlon Ront <br />Asslstance <br />Cllent File Checlllst <br />HMls Cllcnt Release of lnfomatlon and lnformed Consent <br />Form lunless Dv OB cllent refuses comentl <br />tls]ls t4-012lxl(REv 02/2(x13) lor BvS, lf applicablc <br />CHG Vsrlficarbn of HH glglblfty and lncome Recettificttlon <br />Form {wlth a$oclated documentatlon) <br />lf staying longer <br />than 90 davs <br />CHc lncome Ellghlllty workheet (or equlvalent, whste <br />appllcable) <br />lf staylng longer <br />than 90 days CHG Standard only <br />CHG Standard and <br />Evlction Preventlon <br />onlv <br />Targeted Ptavenilon Ellglblllty Scteenlng Fom <br />Rent Reasonablene$ Fotm, ff appllcable <br />Lndlord Habltablllty Certmc.tlon OR HtlS or fiqS / as applicable <br />Lead-based Palnt Assessment, if appllcable <br />Utility-Only Asslstance Fotn! ff appllcable <br />lease O&Certlflc8tlon of Payment ObllSatlon <br />lntent to Rent, lf appllcable <br />Household Rent subsldy amount / Rent detemlnatlon <br />process <br />Assessment and Houslnt Stability PlannlnS <br />Temporary Absence, lf applicabl€
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