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  • Hmis Adult Entry Form A1 - Sutter Network Of Care - Sutter Networkofcare

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MARIN HMIS PROGRAM (ADULT) ENTRY FORM A1 PROGRAM NAME: Worker Initials: Complete an Adult Entry form for each adult in the family. There can be only one head of household. Note the head of household.

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Ways to Apply: Online. BenefitsCal. By phone. Sutter County Customer Service Center at. 1-877-652-0735. TTY- 711. In person. 190 Garden Hwy. Yuba City, CA 95991. Hours: Monday – Friday, 8am to 5pm. Mail in. P.O. Box 1535, Yuba City, CA 95992. Fax. 1-530-822-7212. Program Manager. Alma Amaya-Matta. 1-877-652-0735.

HSP assists CalWORKs families who are experiencing homelessness or are at risk of homelessness. HSP utilizes a Rapid Re-Housing Model and Housing First approach to assist families with financial assistance and housing-related wrap-around supportive services.

SYBH accepts most medical insurance, Medi-Cal and Medicare. 24-HOUR Psychiatric Emergency Services (Crisis Services): (530) 673-8255 or Toll Free (888) 923-3800.

Requesting Service for Sutter County Facilities Contact Facility Management via phone at (530) 822-7410 or online contact form. Internal County staff may request services via the online work request system on the County Intranet.

Members of the Board of Supervisors serve as the legislative body for Sutter County and provide policy direction for all branches of County government. Each of the five members represents an area of the County, known as a Supervisorial District, and is elected by the voters in that District to a four-year term.

Board of Supervisors Supervisor, District 1: Nick Micheli. Supervisor, District 2: Dan Flores. Supervisor, District 3: Mike Ziegenmeyer. Supervisor, District 4: Karm Bains. Supervisor, District 5: Mat Conant. Board of Supervisors.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232