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HIS Diversion Form Please follow the Diversion Workflow to input this record in HIS. Only gather if the household is seeking shelter or emergency housing. Today's Date: HIS Privacy Notice & Consent
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How to fill out hmis diversion form

01
To fill out the HMIS Diversion form, follow these steps:
02
Start by entering the required personal information, such as name, address, contact details, and date of birth.
03
Fill in the details of the diversion program you are applying for, including program name, program code, and any additional program-specific information.
04
Provide information about your reason for seeking diversion, including a brief explanation of the circumstances that led to the need for diversion.
05
Answer any questions related to your eligibility for the program, such as income level, employment status, and current housing situation.
06
If applicable, provide details of any dependents or family members that will be participating in the program with you.
07
Complete any additional sections or questions as required by the specific diversion program.
08
Review the completed form for accuracy and make any necessary corrections.
09
Sign and date the form to indicate your consent and understanding of the information provided.
10
Submit the completed HMIS Diversion form to the designated authority or agency as instructed.

Who needs hmis diversion form?

01
Anyone who is seeking diversion from homelessness or at risk of becoming homeless may need to fill out the HMIS Diversion form.
02
This form is typically required by agencies or organizations that provide diversion programs or services to individuals and families in need.
03
It is important to check with the specific program or agency to determine if the HMIS Diversion form is required in your situation.
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The HMIS diversion form is a document used to record information about individuals who are diverted from emergency shelters.
Providers of emergency shelters are required to file the HMIS diversion form.
The HMIS diversion form can be filled out by entering relevant information about the individual who is being diverted from the emergency shelter.
The purpose of the HMIS diversion form is to track and monitor individuals who are diverted from emergency shelters.
Information such as the individual's name, reason for diversion, destination, and date of diversion must be reported on the HMIS diversion form.
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