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Christensen County Homeless AllianceWorking to End HomelessnessCCHA COORDINATED ENTRY INITIAL SCREENING FORM Name: Date of Birth: / / Number of adults in your household: Number of children in your
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The ccha-ce-initial-screening-formpdf is a document used in Chittenden County to assess eligibility for assistance programs, particularly for community health and social services.
Individuals seeking assistance from community health services in Chittenden County are required to file the ccha-ce-initial-screening-formpdf.
To fill out the ccha-ce-initial-screening-formpdf, individuals should complete all required fields, provide accurate personal information, and submit it as directed by the County's health services.
The purpose of the ccha-ce-initial-screening-formpdf is to gather initial information from applicants to determine their eligibility for community health and social assistance programs.
Required information includes personal identification details, household income, health-related information, and any services currently utilized or needed.
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