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Get the free Homelessness Services Referral Form - CMHA Kelowna

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Homelessness Services Referral Forms form is a referral for Housing First, Rapid Rehousing, and our Access Network. Once submitted our Access Navigator will contact you to determine the best stream
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How to fill out homelessness services referral form

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How to fill out homelessness services referral form

01
Start by collecting all necessary information about the individual or family in need of homelessness services.
02
Locate the homelessness services referral form either online or at a local social services office.
03
Fill out the personal information section of the form, including the individual's or family's name, contact information, and any identification numbers if applicable.
04
Provide detailed information about the current living situation, including the address, housing status (e.g., living on the streets, living in temporary accommodations), and the duration of homelessness.
05
Indicate the specific type of assistance needed, such as emergency shelter, transitional housing, rental assistance, or supportive services.
06
Provide information about any specific needs or circumstances that may require additional assistance, such as mental health issues, substance abuse, or domestic violence.
07
If the referral is being made by a service provider or agency, include their contact information and any relevant details about their involvement with the individual or family.
08
Review the completed form for accuracy and completeness, ensuring all required fields are filled out
09
Submit the referral form through the designated method specified on the form, which may include mail, fax, or online submission.

Who needs homelessness services referral form?

01
Anyone who is experiencing homelessness or at risk of homelessness may need to fill out a homelessness services referral form.
02
This includes individuals or families without a stable place to live, those living in temporary accommodations, or individuals facing imminent eviction or loss of housing.
03
The referral form helps connect them with the appropriate resources and support services to address their housing needs.
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The homelessness services referral form is a document used to connect individuals experiencing homelessness with the necessary resources and support services.
Service providers, social workers, outreach workers, and other professionals working with homeless individuals are required to file the homelessness services referral form.
The homelessness services referral form can be filled out by providing accurate information about the individual in need, their current situation, and any specific services required.
The purpose of the homelessness services referral form is to help homeless individuals access the support and resources they need to improve their situation and find stability.
Information such as the individual's name, age, gender, current living situation, specific needs, and contact information must be reported on the homelessness services referral form.
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