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CA Shelter Referral Form 2007-2025 free printable template

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This form is used to refer clients seeking assistance from SHELTER, Inc., including their personal information, health history, and housing situation.
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How to fill out CA Shelter Referral Form

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How to fill out CA Shelter Referral Form

01
Start by downloading the CA Shelter Referral Form from the official website or obtaining a physical copy from a local agency.
02
Fill in your personal information at the top of the form, including your name, address, and contact information.
03
Specify the reason for the referral in the designated section, providing a brief but clear explanation.
04
Indicate the type of shelter you are requesting, such as emergency shelter or transitional housing.
05
Include any additional information that may be relevant, such as the number of people in your household and any specific needs.
06
Review your entries for accuracy and completeness.
07
Sign and date the form where indicated.
08
Submit the completed form to the appropriate agency or shelter.

Who needs CA Shelter Referral Form?

01
Individuals or families experiencing homelessness and seeking shelter.
02
Social workers and agencies assisting clients in finding shelter.
03
People needing temporary housing due to domestic violence or family disputes.
04
Anyone requiring state assistance to access emergency or transitional housing.
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People Also Ask about

Catholic Charities Brooklyn and Queens provides individual and families experiencing housing instability with various homeless prevention services. Call 718-722-6001 for more information.
HomeBase is the BronxWorks homelessness and shelter prevention program for residents in Bronx Service Areas 1 (zip codes 10451, 10452, 10454, 10455) and 5 (zip code 10456).
You may be eligible for Homebase services if you: Are at imminent risk of entering the New York City shelter system. Are low-income. Want to remain stably housed in your community.
Catholic Charities Brooklyn and Queens provides individual and families experiencing housing instability with various homeless prevention services. Call 718-722-6001 for more information.
What is Homebase and how does it work? Homebase is a homelessness prevention network with 23 locations across the 5 boroughs of New York City. Each year over 25,000 at-risk households are provided services to assist with a housing crisis and support stability.
HRA will pay for a one-bedroom apartment that costs up to $1,312 per month. If your income is $1,000 per month and the rent on your one-bedroom apartment is $1,312 (the maximum rent) HRA will calculate 30% of your income as $300 that you should pay towards rent.

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The CA Shelter Referral Form is a document used to request assistance for individuals or families seeking shelter in California. It helps connect them with available housing resources.
Emergency service providers, social workers, and organizations assisting homeless individuals or families are typically required to file the CA Shelter Referral Form.
To fill out the CA Shelter Referral Form, you should provide specific details about the individual or family in need of shelter, including personal information, reasons for needing shelter, and any special requirements they may have.
The purpose of the CA Shelter Referral Form is to streamline the process of connecting those in need with available shelter resources and to ensure that services are allocated effectively.
The CA Shelter Referral Form must report the applicant's personal information, current living situation, the reasons for the referral, any urgent needs or requirements, and contact information for follow-up.
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