Follow the steps to effectively fill out the form.

1. Click ‘Get Form’ button to download the form and open it in the appropriate editor.
2. Begin by entering the intake date in the designated field, followed by the entry date. Ensure the format is consistent as required by the form.
3. Input the ServicePoint (HoH) ID and project name clearly in the specified sections. This identification is vital for categorizing the application.
4. Fill out personal information for the Head of Household (HoH), including their first name, middle name, last name, and any applicable suffixes. If the user prefers to use an alias or code name, provide that information in the corresponding field.
5. Enter the date of birth and social security number, making sure to mark if the user is unsure or refuses to provide this information.
6. Select the appropriate race and ethnicity options by checking all that apply. It’s crucial to respect the user's identification while ensuring all options are inclusively offered.
7. Document the user's gender identity and preferred description, utilizing the selection boxes provided. This respects the user's identity and allows for accurate data collection.
8. Determine the veteran status of the user and indicate the correct option based on their response.
9. Assess the user's relationship to the Head of Household by selecting from the available options. Only adults and the Head of Household need to complete this section.
10. Identify the user's health insurance status by selecting yes or no and, if applicable, specifying the insurance source.
11. If applicable, state whether the user has any disabilities and indicate the type. Different types of disabilities may impair living independently, and users can express uncertainty as needed.
12. If the user has had experiences related to domestic violence, select the appropriate responses regarding their past and current situation.
13. Clearly document the user's living situation immediately prior to entry, selecting the most fitting description. This affects the assessment process for supportive services.
14. Provide information on the length of stay in the prior living situation to capture the user's homelessness history comprehensively.
15. Record the user's income sources and amounts. Users should include all forms of income if applicable and indicate any uncertainty in their responses.
16. Lastly, complete the non-cash benefits section and indicate if the user is currently in permanent housing, alongside the housing move-in date.
17. Ensure that the staff member completing the form prints their name and date, confirming completion and oversight.
18. Review all entries for accuracy. Users can save changes, download the form for their records, print it for physical submission, or share it as necessary.

Start filling out the HMIS Standard Intake Form online today to access essential support services.