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BASIC NEEDS HOUSING OrganizationContact InformationCoordinated Intake for Homeless Families Sabrina Seymore 200 E. Main St. Rm. 305 Durham, NC 27701 (919) 5608014412 Liberty St Durham, NC 27701 (919)
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How to fill out coordinated intake form:

01
Start by carefully reading and understanding the instructions provided on the coordinated intake form. Familiarize yourself with the purpose and requirements of the form.
02
Gather all the necessary documents and information that may be required to complete the form. This may include personal identification details, contact information, income verification, housing history, and any supporting documents specific to the program or service for which you are applying.
03
Begin filling out the form by providing your personal details accurately. This usually includes your full name, date of birth, address, phone number, and email address. Make sure to double-check the information for any errors or misspellings.
04
Move on to the section that pertains to your household information. Fill in the names, ages, and relationships of all the individuals living in your household. Include any additional information, such as disabilities or special needs, if required.
05
Provide your financial information, including income sources, employment details, and any other sources of financial assistance you may be receiving. Be as accurate and specific as possible while providing this information.
06
If the coordinated intake form requests information about your housing situation, fill in the necessary details. This may include your current living arrangements, history of previous residences, and any specific housing preferences you may have.
07
Answer any additional questions or sections on the form related to the program or service you are applying for. This may include sharing details about your health, education, employment status, or any other information relevant to the specific program.
08
Review the completed form thoroughly to ensure all the information provided is accurate and complete. Make any necessary corrections or additions if required.
09
Sign and date the form where indicated. This confirms that the information provided is true and accurate to the best of your knowledge.

Who needs coordinated intake for:

01
Individuals or families seeking assistance or access to social services, such as housing assistance, emergency shelters, food banks, employment services, childcare, etc., may need to complete a coordinated intake form. This helps centralize the intake process and ensures that individuals are matched with the appropriate services based on their needs.
02
Coordinated intake is especially beneficial for those who require multiple services or support from different agencies or organizations. It provides a streamlined process of accessing services, reduces duplication of efforts, and offers a coordinated approach to addressing the needs of individuals or families.
03
Coordinated intake is often utilized by local government agencies, nonprofits, and community-based organizations to gather information and assess the needs of individuals seeking assistance. It helps these organizations allocate resources more effectively and ensure equitable distribution of services to those in need.
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Coordinated intake is a process designed to streamline the access to services and resources for individuals and families in need.
Individuals or families seeking assistance from social service agencies are required to file coordinated intake forms.
Coordinated intake forms can typically be filled out online or in person at a social service agency.
The purpose of coordinated intake is to ensure that individuals and families receive the appropriate services and resources in a timely manner.
Information such as contact details, household composition, income level, and the reason for seeking assistance must be reported on coordinated intake forms.
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