Get the free Colorado HMIS Universal Intake Form - Colorado Coalition for ... - coloradocoalition

Colorado HIS Universal Intake Form (9/6/2012) Please answer all questions. Fill out one form for each family member at program entry. (FOR AGENCY USE ONLY) Program Entry Date: / / Program Name/Grant:

How to fill out colorado hmis universal intake

How to fill out Colorado HMIS universal intake:

1. Start by obtaining the Colorado HMIS universal intake form. This can usually be obtained from a local homeless service provider or shelter.
2. Begin by filling out the personal information section of the form. This includes providing your full name, date of birth, gender, and contact information.
3. Proceed to fill out the demographic information section. This includes providing details about your race, ethnicity, marital status, and household composition.
4. Next, provide information about your current housing situation. This includes indicating whether you are currently experiencing homelessness or are at risk of homelessness, as well as any previous addresses or instances of homelessness.
5. Complete the income and financial resources section. This includes providing details about your income, benefits, and any other financial resources you may have.
6. Fill out the section related to your health, mental health, and substance abuse. This includes providing information about any disabilities or chronic health conditions, as well as any history of mental health issues or substance abuse.
7. Provide information about any history of domestic violence or human trafficking, if applicable.
8. Finally, review the form to ensure all sections have been completed accurately and thoroughly. Sign and date the form before submitting it to the relevant service provider or shelter.

Who needs Colorado HMIS universal intake:

1. Individuals who are experiencing homelessness and in need of assistance.
2. Individuals at risk of homelessness who require support and resources.
3. Service providers, shelters, and organizations that work with homeless individuals and require accurate and comprehensive intake information for program eligibility and service delivery purposes.

For pdfFiller’s FAQs

What is colorado hmis universal intake?

Colorado HMIS Universal Intake is a standardized form used to collect data on individuals seeking services in the homeless management information system.

Who is required to file colorado hmis universal intake?

Service providers and agencies that work with individuals experiencing homelessness are required to file Colorado HMIS Universal Intake.

How to fill out colorado hmis universal intake?

Colorado HMIS Universal Intake can be filled out by gathering information from the individual seeking services and entering it into the designated fields on the form.

What is the purpose of colorado hmis universal intake?

The purpose of Colorado HMIS Universal Intake is to collect data on individuals experiencing homelessness in order to track trends, allocate resources, and improve service delivery.

What information must be reported on colorado hmis universal intake?

Information such as demographic details, housing status, reasons for homelessness, and service needs must be reported on Colorado HMIS Universal Intake.

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