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Federally×Funded×HIS×ENTRY (excludes×SSDF) Household×Member×1Household×Member×2Household×Member×3Household×Member×4PROJECT×ENTRY×DATE (e.g.×08/24/2014) SIGNED×ROI×DATE: (Release×of Information/Client×Consent)# in×Household (including×self) First×Name Middle×Nameless×Name Suffix DATE×OF BIRTH (e.g.) 10/23/1978) SOCIAL×SECURITY×NUMBER GENDERMaleFemaleMaleFemaleMaleFemaleMaleFemaleMale×to Female×to Male×to Female×to Male×to Female×to Male
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Individuals or organizations involved in non-federally funded housing and homeless management initiatives need the 2017 HMIS non-federally funded form. This form helps gather and track data related to housing and homeless services, allowing for improved program evaluation and resource allocation. It may be required by government agencies, non-profit organizations, or other entities engaged in providing support and assistance to homeless individuals and families.
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HMIS non-federally funded intake is a process used to collect information on clients accessing services that are not funded by the federal government.
Service providers or agencies that offer non-federally funded services are required to file HMIS non-federally funded intake forms.
HMIS non-federally funded intake forms can be filled out manually or through a computer system provided by the HMIS vendor.
The purpose of HMIS non-federally funded intake is to collect data on clients accessing services that are not federally funded, in order to track outcomes and improve service delivery.
Information such as client demographics, services received, housing status, and income level must be reported on HMIS non-federally funded intake forms.
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