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EXHIBIT E FORMS INSTRUCTIONS: HEAP HOMELESS STATUS CERTIFICATION FORMS Use the following instructions for completing Exhibit E HEAP Homeless Status Certification Forms. Those forms are as follows:
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How to fill out heap homeless status certification

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How to fill out heap homeless status certification

01
To fill out the HEAP homeless status certification form, follow these steps:
02
Start by providing your personal details such as name, address, contact information, and Social Security number.
03
Indicate whether you are currently homeless or at imminent risk of becoming homeless.
04
Provide information about your household composition, including the number of people residing with you and their ages.
05
Specify your current living situation, such as living in a shelter, staying in a hotel/motel, or temporarily staying with friends/family.
06
If applicable, provide details about any income you receive, including wages, unemployment benefits, disability benefits, etc.
07
Indicate if you currently receive any public assistance benefits like SNAP (food stamps), TANF, or SSI.
08
Provide information about your housing expenses, such as rent or mortgage payments, utility bills, and any other related costs.
09
If you have any special circumstances or additional information that may affect your eligibility, include it in the designated section.
10
Review the completed form to ensure all information is accurate and sign the certification.
11
Submit the filled-out form as per the given instructions, which may involve mailing it, submitting it online, or submitting it in person at the designated office.

Who needs heap homeless status certification?

01
The HEAP homeless status certification is needed by individuals and families who are either currently homeless or at imminent risk of becoming homeless.
02
Common cases where HEAP homeless status certification is required include:
03
- Individuals living in shelters or temporary housing
04
- Individuals staying in hotels/motels due to lack of permanent housing
05
- Individuals temporarily residing with friends or family members due to homelessness
06
- Individuals facing eviction or foreclosure and at risk of losing their current housing
07
- Individuals with no fixed, regular, or adequate nighttime residence, such as those living in cars, parks, or abandoned buildings
08
- Individuals fleeing domestic violence situations or unsafe living conditions
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Heap homeless status certification is a form that must be completed by individuals or families seeking emergency shelter assistance through the Homeless Emergency Assistance Program (HEAP).
Individuals or families who are seeking emergency shelter assistance through HEAP are required to file heap homeless status certification.
Heap homeless status certification can be filled out by providing information about the individual or family seeking emergency shelter assistance, including identification details, income, and housing situation.
The purpose of heap homeless status certification is to determine eligibility for emergency shelter assistance through the Homeless Emergency Assistance Program (HEAP) based on the individual or family's housing situation and income.
Information such as identification details, income, and housing situation must be reported on heap homeless status certification.
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