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AFS between KC and HopeSource CWS 26-27
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2026-10-06 10:00 AM - Commissioners' Agenda
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AFS between KC and HopeSource CWS 26-27
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Last modified
10/1/2026 12:16:31 PM
Creation date
10/1/2026 12:15:25 PM
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Meeting
Date
10/6/2026
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 an Agreement for Services between Kittitas County and HopeSource (Cold Weather Shelter)
Order
11
Placement
Consent Agenda
Row ID
149866
Type
Agreement
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<br />Page | 29 <br />(GA)/Aged, Blind or Disabled Cash Program (ABD) must not have their cash benefits count towards <br />income. <br />4.6 Homelessness Prevention Documentation of Income Eligibility <br />Lead/subgrantees must verify and document income eligibility prior to program entry. <br /> <br />CHG Verification of Household Eligibility and Income Recertification Form, all allowable income <br />documentation, and the CHG Income Eligibility Worksheet (or equivalent) must be kept in the client <br />file. Documentation must be dated within 30 days. <br /> <br />Adult household members that have no income are required to complete a CHG Self-Declaration Form. <br /> Annualizing Wages and Periodic Payments <br />Use the CHG Income Eligibility Worksheet (or equivalent) to calculate income based on hourly, weekly, <br />or monthly payment information. Add the gross amount earned in each payment period that is <br />documented and divide by the number of payment periods. This provides an average wage per <br />payment period. Depending on the schedule of payments, use the following calculations convert the <br />average wage into annual income: <br />✓ Hourly wage multiplied by hours worked per week multiplied by 52 weeks. <br />✓ Weekly wage multiplied by 52 weeks. <br />✓ Bi-weekly (every other week) wage multiplied by 26 bi-weekly periods. <br />✓ Semi-monthly wage (twice a month) multiplied by 24 semi-monthly periods. <br />✓ Monthly wage multiplied by 12 months. <br /> <br />The CHG Income Eligibility Worksheet is not required for households that have no income or receive <br />only Temporary Assistance for Needy Families (TANF) or General Assistance (GA)/Aged, Blind or <br />Disabled Cash Program (ABD). <br />4.7 Homelessness Prevention Eligibility Recertification <br />Lead/subgrantees must document recertification of household income eligibility at least every three <br />months using the CHG Verification of Household Eligibility and Income Recertification Form. <br /> Income Ineligible at Recertification <br />If households are determined income ineligible, they may remain in the program for an additional <br />three months. Case management may continue for an additional six months after the determination of <br />income ineligibility to support the household transition to self-sufficiency. <br />4.8 Landlords Applying for Homelessness Prevention Assistance on Behalf of Tenant <br />Lead/subgrantees must allow landlords to initiate a request for assistance on behalf of their tenants by <br />completing the Certification of Payment Obligation Form. Eligibility is based on tenant eligibility. At <br />minimum, a reasonable attempt to contact the tenant must be made by the lead/subgrantee using the <br />information provided from the landlord. The lead/subgrantee must create a process for what is <br />reasonable based on the agency and staffing capacity. <br />
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