Program Request Form Workflow Manuals
New Program Request Form (2019-2020) (updated 11Oct19)

Complete Santa Clara Workflow Revised CCP Workflow & Manual – Case Managers (Revised 09-26-17)

CSJ RRH Workflow Training (Revised 03-07-18)

RRH Workflow Training (Final 11-19-18)

The Health Trust (THT) Workflow Training (Revised 01-17-2020)

HUD HMIS System Standards Client Intake Forms & Guides
HMIS Standards Client Consent To Data Collection And ROI (Revised 03-11-2020)
2017 HMIS Data Standards – Manual Client Consent and Coordinated Assessment: What can I enter into HMIS?
2017 HMIS Data Standards- Data Dictionary Client Consent PR-VI-SPDAT: What can I enter into HMIS?  Client Consent and the VI-SPDAT: What can I enter into HMIS?
General HMIS Forms Forms and Documents for Agency Administrators
Partner Agencies List SCC HMIS Partner Agency Privacy and Data Sharing Agreement (version 2020-02-20)
HMIS Privacy Statement Rev. 6.2020 Technical Administrator and Security Officer Agreement (version 2015-09-25) 
HMIS Standard Operating Procedures (SOP’s) Rev. 7.2020

Electronic End User Agreement (Version 2020-01-29)

HMIS Client Grievance Form Rev. 7.2020

SCC HMIS Quarterly Complaince Certification Checklist (V. 2020-09-02)

SCC HMIS Quarterly Complaince – Self Certification

  Santa Clara County Agency Admin. Meeting Attendance Policy (Updated January 2020)
VI-SPDAT (Replaces H1K Vulnerability Index) SPDAT Forms (Replace Self-Sufficiency Matrix)

VI-SPDAT for Single Adults (Updated 11Dec2018)

SPDAT-v4.01-Single-Print

VI-SPDAT for Families with Children (Updated 31Oct2018)

F-SPDAT 

VI-SPDAT for Youth (Updated 15Dec2016)

 
Prevention VI-SPDAT (PR-VI-SPDAT)
PR-VI-SPDAT for Single Adults (English)
PR-VI-F-SPDAT for Families with Children (English)
PR-VI-SPDAT Introductory Script
Justice Dischargees VI-SPDAT (JD-VI-SPDAT)

JD-VI-SPDAT Form Packet (Updated 03Dec2018)

VI-SPDAT Additional Resources

Please use the following documents as guidance for the VI-SPDAT
When should I do a VI-SPDAT (PDF)
FAQ for Service Providers who do not administer the VI-SPDAT (PDF)
FAQ for Victim Service Providers (VSPs) who administer the VI-SPDAT (PDF)
FAQ for Providers who administer the VI-SPDAT (PDF)

Program Specific Forms

HUD Continuum of Care Program (CoC) (Updated 30January2020)
Intake Form (PDF,DOC) Status Assessment Form (PDF,DOC) Exit Form (PDF,DOC)
Homeless Prevention Services Program (HPS) (Updated 30January2020)
Intake Form (PDF,DOC) Status Assessment Form (PDF,DOC) Exit Form (PDF,DOC)
HHS Runaway and Homeless Youth Program (RHY) (Updated 30January2020)
Intake Form (PDF,DOC) Status Assessment Form (PDF,DOC) Exit Form (PDF,DOC)
SAMHSA Projects for Assistance in Transition from Homelessness (PATH) (Updated 30January2020)
Intake Form (PDF,DOC) Status Assessment Form (PDF,DOC) Exit Form (PDF,DOC)
VA Programs (SSVF, GPD) (Updated 30January2020)
Intake Form (PDF,DOC) Status Assessment Form (PDF,DOC) Exit Form (PDF,DOC)
UPLIFT (Updated 30January2020)
Intake Form (PDF) Status Assessment Form (PDF) Exit Form (PDF)

(CE) Minimum Screen Forms

(Updated 10March2020)        
Intake Form (PDF,DOC) Exit Form (PDF,DOC).
   
FEMA Intake Forms (Updated 25September2020)
Intake Form (PDF, DOC) Exit Form (PDF, DOC) Intake Form Minor (PDF, DOC)
Clarity HMIS: HUD-CoC Congregate NCV Program Intake (Back Data Entry)  
Intake Form (PDF,DOC) (Updated 27May2020)
   

Housing Problem Solving Documents

DSW Flow Chart (PDF)

HMIS Surge Data Collection Form (PDF, DOC)

Housing Problem Solving Services Form (PDF, DOC)

Participant Acknowledgement (PDF)

W9 Form (PDF)

HPS Summary Form Participant Check Request (PDF, DOC)

Housing Problem Solving Minimal Intake Form (PDF, DOC)

Housing Problem Solving Exit Form (PDF, DOC)

 

Current Living Situation (CLS) Assessment

Who Should Use Current Living Situation Assessment?

(Updated 19September2019)

Coordinated Entry (CE) Night by Night Shelter (NBN) Services Only
Safe Parking                    UPLIFT Programs               Forms (PDF,DOC)

Translated Forms

Click here for Spanish forms

Click here for Vietnamese forms

Click here for Chinese Forms 

Other Tools and References

Domestic Violence, Sexual Assault, and Human Trafficking Pre-Screening Tool and Referral Guide

How to Exit Clients from a Program

How to Create an Anonymous Client Profile

When a Client Requests a Name Change

SCC ROI FAQ Sheet

SCC ROI Completion – Instructions Guide

CCP Reports User Guide

How To Fix Common Annual Assessment Errors

SCC Helpful Reports Guide

Victim Services Screening Tool and Training