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Philadelphia Coordinated Entry and AssessmentBased Housing Referral System Housing Assessment Screening and Match Initiation Consent Form Participant Last Name:Participant First Name:DOB (mm/dd/YYY):/ HIS

How to fill out coordinated entry evaluation request

How to fill out coordinated entry evaluation request

1. Start by gathering all the necessary information and documents required for the coordinated entry evaluation request.
2. Begin by filling out the personal information section, including your full name, contact details, and any relevant identification numbers.
3. Next, provide information about your current housing situation, including whether you are homeless or at risk of becoming homeless, the reasons for your housing instability, and any additional details that may be required.
4. Proceed to answer the questions related to your income, employment status, and any sources of financial assistance you may be receiving.
5. Provide information about any disabilities or special needs that you may have, including whether you require any specific accommodations or support services.
6. Answer any additional questions or provide any further details as needed in the designated sections.
7. Review the completed form to ensure all information is accurate and complete.
8. Submit the filled out coordinated entry evaluation request form to the appropriate agency or organization as instructed.

Who needs coordinated entry evaluation request?

1. Anyone who is homeless or at risk of becoming homeless may need a coordinated entry evaluation request. This includes individuals, families, and youth who are experiencing housing instability and are seeking assistance and support to access housing resources and services.

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What is coordinated entry evaluation request?

Coordinated entry evaluation request is a request submitted to assess an individual or family's eligibility for homeless services and resources.

Who is required to file coordinated entry evaluation request?

Individuals or families seeking homeless services and resources are required to file coordinated entry evaluation request.

How to fill out coordinated entry evaluation request?

Coordinated entry evaluation request can be filled out by contacting the local homeless service provider or accessing the online portal.

What is the purpose of coordinated entry evaluation request?

The purpose of coordinated entry evaluation request is to determine the best match for available homeless services and resources based on the individual or family's needs.

What information must be reported on coordinated entry evaluation request?

Information such as demographics, housing history, income, and support needs must be reported on coordinated entry evaluation request.