Get In Ihcda Clienttrack Project Intake Form For Domestic Violence Providers 2016-2025

This guide is designed to provide clear and supportive instructions on filling out the IN IHCDA ClientTrack Project Intake Form for Domestic Violence Providers online. Completing this form accurately is essential to ensure effective support and services for individuals experiencing domestic violence.

Follow the steps to complete the intake form efficiently.

1. Press the ‘Get Form’ button to acquire the document and open it in your editor.
2. Begin with the Universal Data Collection section. Fill in the required basic client information, which includes first name, last name, and middle name. Remember, fields marked with an asterisk (*) are mandatory.
3. Provide the social security number, birthdate, and additional name data quality options. Make sure to select from the options provided regarding the completeness of the reported information.
4. Continue by selecting applicable options for race, gender, ethnicity, disabling condition, marital status, and veteran status. Each of these sections includes required fields to be filled.
5. Next, fill in the primary language and citizenship details. Ensure you complete all required sections, as missing information may affect the intake process.
6. In the contact information section, detail address, city, state, zip code, home phone number, email address, work phone, and message phone.
7. Move onto the Project Enrollment section. Enter the assessment date and case assignment, ensuring that all fields marked with an asterisk (*) are completed.
8. Proceed to the Entry Assessments section, filling out the current housing status and type of residence. Pay attention to the length of stay in the prior living situation, rounding off with the approximate date homelessness started.
9. Complete the ClientTrack Barriers Assessment, where you will identify barriers present, including options like alcohol abuse and mental health.
10. Fill out the Domestic Violence Assessment of Victim section, which includes questions about victimization and relationships.
11. Address the Legal/Crime Information part next, including details about law enforcement calls and crimes related to the incident.
12. Cover the Financial Assessment and Child Education Assessment sections thoroughly, ensuring all income sources and educational backgrounds are documented.
13. Finalize your responses in the Legal Assessment and Transportation Assessment sections, detailing any ongoing legal situations or transportation means.
14. Once all sections are completed, save your changes, download the form for your records, print a copy if required, or share it with the relevant authorities.

For comprehensive support, ensure your documents are submitted online.