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Burlington County COC
COORDINATED ASSESSMENT TOOL SET
Adapted from the National Alliance to End Homelessness assessment trained assessment specialist should ask the questions below. Instructions for
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How to fill out coordinated assessment and screening

How to fill out coordinated assessment and screening
01
Step 1: Gather all necessary information and documents required for the assessment and screening.
02
Step 2: Start by providing personal information such as name, date of birth, and contact details.
03
Step 3: Answer all questions related to household size, income, and expenses.
04
Step 4: Provide details about any disabilities or special needs that you or your household members may have.
05
Step 5: Complete the screening questions related to housing stability and risk of homelessness.
06
Step 6: Sign and date the assessment form.
07
Step 7: Submit the completed form to the designated authority or organization responsible for coordinated assessment and screening.
Who needs coordinated assessment and screening?
01
Coordinated assessment and screening is typically required for individuals and families who are at risk of or currently experiencing homelessness.
02
It is also necessary for individuals seeking assistance or access to housing programs and services provided by government agencies or nonprofit organizations.
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What is coordinated assessment and screening?
Coordinated assessment and screening is a process used to evaluate an individual's needs and determine the appropriate services and supports for them.
Who is required to file coordinated assessment and screening?
Individuals who are seeking assistance or services may be required to undergo coordinated assessment and screening.
How to fill out coordinated assessment and screening?
Coordinated assessment and screening forms are typically filled out by trained professionals or case managers who work closely with the individual in need.
What is the purpose of coordinated assessment and screening?
The purpose of coordinated assessment and screening is to ensure that individuals receive the appropriate services and support to address their needs.
What information must be reported on coordinated assessment and screening?
Information such as demographics, medical history, living situation, and support network may need to be reported on coordinated assessment and screening forms.
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