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Get Pictures Of Homeless Form

Tion Form Date: All applicants for housing through the YWCA of Niagara must complete this verification form in accordance with state and federal requirements. The form must be signed by the person and/ or organization representative providing housing. I, , attest that I am homeless on this date, , due to the following circumstances: ! Non-housing (street, park, car, bus station, etc.) ! Emergency Shelter ! Transitional Housing for homeless person ! Psychiatric Facility ! Substance Ab.

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