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PROGRAM REQUEST FORM |
WORKFLOW MANUALS |
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Complete Santa Clara Workflow Revised CCP Workflow & Manual – Case Managers (Revised 09-26-17) |
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HUD HMIS SYSTEM STANDARDS |
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The Health Trust (THT) Workflow Training (Revised 01-17-2020) |
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CLIENT INTAKE FORMS & GUIDES |
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GENERAL HMIS FORMS |
Client Consent To Data Collection And ROI (Revised 03-11-2020) |
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Client Consent and Coordinated Assessment: What can I enter into HMIS? |
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Client Consent PR-VI-SPDAT: What can I enter into HMIS? Client Consent and the VI-SPDAT: What can I enter into HMIS? |
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FORMS & DOCUMENTS FOR AGENCY ADMINISTRATORS |
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SCC HMIS Partner Agency Privacy and Data Sharing Agreement (version 2021-02-16) |
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VI-SPDAT |
Technical Administrator and Security Officer Agreement (version 2015-09-25) |
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SCC HMIS Quarterly Compliance Certification Checklist (V. 2020-09-02) |
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HOMELESS PREVENTION ASSESSMENT TOOL (HPAT) This Assessment Replaces the PR-VI-SPDAT |
Santa Clara County Agency Admin. Meeting Attendance Policy (Updated January 2020) |
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SPDAT FORMS |
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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) |
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| Intake Form (PDF,DOC) | Status Assessment Form (PDF,DOC) | Exit Form (PDF,DOC) |
| Homeless Prevention Services Program (HPS) (Updated 30January2020) |
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| Intake Form (PDF,DOC) | Status Assessment Form (PDF,DOC) | Exit Form (PDF,DOC) |
| HHS Runaway and Homeless Youth Program (RHY) (Updated 30January2020) |
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| Intake Form (PDF,DOC) | Status Assessment Form (PDF,DOC) | Exit Form (PDF,DOC) |
| SAMHSA Projects for Assistance in Transition from Homelessness (PATH) (Updated 30January2020) |
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| Intake Form (PDF,DOC) | Status Assessment Form (PDF,DOC) | Exit Form (PDF,DOC) |
| VA Programs (SSVF, GPD) (Updated 13May2021) |
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| Intake Form (PDF,DOC) | Status Assessment Form (PDF,DOC) | Exit Form (PDF,DOC) |
| UPLIFT (Updated 30January2020) |
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| Intake Form (PDF) | Status Assessment Form (PDF) | Exit Form (PDF) |
| FEMA Intake Forms (Updated 25September2020) |
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| Intake Form (PDF, DOC) | Exit Form (PDF, DOC) | Intake Form Minor (PDF, DOC) |
| Clarity HMIS: HUD-CoC Congregate NCV Program Intake (Back Data Entry) | |
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| Intake Form (PDF,DOC) | (Updated 27May2020) |
Housing Problem Solving Documents
HMIS Surge Data Collection Form (PDF, DOC)
Housing Problem Solving Services Form (PDF, DOC)
Participant Acknowledgement (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
Translated Forms
Click here for Vietnamese 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 Completion – Instructions Guide
How To Fix Common Annual Assessment Errors
Victim Services Screening Tool and Training