Get Chronic Homeless Episodes Verification Form

Filling out the Chronic Homeless Episodes Verification Form online is a crucial step in verifying chronic homelessness status. This user-friendly guide will walk you through each section of the form to ensure accurate and complete submissions.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to access the form and open it in the online editor.
2. Begin filling out the form by entering your name in the designated field at the top of the form.
3. In the 'Start Date' column, specify the beginning date for each episode of homelessness experienced over the past three years.
4. Next, provide the 'End Date' for each episode. If you are currently experiencing homelessness, indicate 'Current' in this field.
5. Select the type of homelessness for each episode from the choices provided. This could include options like places not meant for human habitation or emergency shelter.
6. In the 'Location or Shelter Name' section, enter the name of the shelter or the location where you stayed during each period of homelessness.
7. For each episode, specify if documentation is attached by checking the appropriate box for either 'Third Party' or 'Self Affidavit'. Note that self affidavits should only be used when third-party documentation is unavailable.
8. Fill in staff details including their name, title, and signature after the form is reviewed. Also, ensure the date is indicated.
9. Finally, in the section labeled for staff use only, indicate whether the individual meets HUD’s Chronic Homeless Definition by selecting 'Yes' or 'No'. Record the date and the organization handling the verification.
10. Once all sections are completed and reviewed, you can save the changes, download, print, or share the completed form as necessary.

Start filling out your Chronic Homeless Episodes Verification Form online today to ensure timely processing!