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For office use only CMS CASE NO: HOUSING REFERRAL FORM (TO: Community Mediation Services, Inc.) Referring/Contact Person: File # Landlord/Tenant/Tenant Phone: Fax: Large group Association Other Landlord/Contractor
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How to fill out housing referral form

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How to fill out housing referral form

01
Step 1: Obtain a copy of the housing referral form. This can usually be done by contacting a local housing agency or organization.
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Step 2: Read the instructions on the form carefully to understand what information is required and how to fill it out.
03
Step 3: Gather all the necessary documents and information. This may include personal identification, proof of income, and any supporting documentation related to your housing situation.
04
Step 4: Begin filling out the form by providing your personal details, such as your name, date of birth, and contact information.
05
Step 5: Fill out the sections related to your current housing situation, including the address, type of housing, and any landlord or rental information.
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Step 6: Provide accurate and detailed information about your household members, including their names, ages, and relationship to you.
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Step 7: Complete the sections related to your income, ensuring that you provide all necessary documentation and accurately report your earnings.
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Step 8: If applicable, fill out any sections related to special circumstances or additional information that may affect your housing referral.
09
Step 9: Review the completed form for any errors or missing information. Make any necessary corrections or additions.
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Step 10: Sign and date the form before submitting it to the designated housing agency or organization. Keep a copy for your records.

Who needs housing referral form?

01
Individuals or families who are in need of affordable housing or assistance with their housing situation may need to fill out a housing referral form.
02
This form may be required by housing agencies or organizations in order to assess an individual's eligibility and provide appropriate housing solutions.
03
Examples of individuals who may need a housing referral form include low-income individuals, those experiencing homelessness, individuals facing eviction, or individuals seeking government-assisted housing.
04
It is recommended to contact local housing agencies or organizations to determine if a housing referral form is required and to obtain the necessary form.
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Housing referral form is a document used to refer individuals or families to available housing resources or assistance programs.
Social workers, case managers, or individuals seeking housing assistance may be required to file a housing referral form.
To fill out a housing referral form, one must provide personal and contact information, details of current housing situation, any special needs or preferences, and consent for sharing information with housing providers.
The purpose of housing referral form is to connect individuals or families in need of housing assistance with available resources or programs that can help meet their housing needs.
Information such as personal details, current housing situation, special needs, preferences, and consent for sharing information with housing providers must be reported on a housing referral form.
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