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Shelter Plus Program

Application Materials

Applications MUST be submitted by social service agencies and will not be accepted directly from applicant households.  In most instances, applications must be submitted to the county mental health agency for approval, prioritization, and forwarding to Metro HRA.

The following documents are required for the application.

All are in MS Word format.

Instructions/Checklist

Information Sheet/Application Form

I. Authorization to Obtain Information

IB. Verification of Disability

II.a. Streets Verification

II.b. Shelter Verification

II.c. Transitional Housing Verification

II.e.  Facility Verification

II.f. Chronic Homeless Certification

II.f. Dates and Locations of Stays

III. Case Manager Info
(Other Assistance Programs, Disability, Current Living Situation)

IV. Special Needs

V. Childcare Expenses

VI. Medical Expenses

VII. Survey

VIII. Consent to Release Private Info

IX. Criminal Activity Certification

X. Background Check Consent

XI.  HMIS Consent

XII.  HMIS Release

*Include Income, Asset, and Expense Verifications attached to the above application forms