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Emergency Shelter Intake Form (Complete this form for ALL adults) Client Name: ___ HMIS Client ID#: ___ (optional) Project Start Date: ___ ROI Signed? Yes ___ No ___ For fields in Italics, Check HMIS
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How to fill out emergency shelter intake form

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How to fill out emergency shelter intake form

01
Start by obtaining an emergency shelter intake form from the shelter or online.
02
Read the instructions on the form carefully to ensure you understand the information required.
03
Begin by providing your personal information, such as your name, address, and contact details.
04
Indicate your current living situation and explain why you are in need of emergency shelter.
05
Fill out the form's sections related to your income, employment status, and any other financial information.
06
Provide information about your family members or dependents, including their names, ages, and relationship to you.
07
Describe any special needs or medical conditions you or your family members may have that require accommodations.
08
Answer any additional questions or sections on the form related to your situation or circumstances.
09
Review the completed form for accuracy and completeness before submitting it.
10
Submit the emergency shelter intake form to the appropriate shelter or organization as instructed.
11
Keep a copy of the completed form for your records and reference.

Who needs emergency shelter intake form?

01
Anyone who is currently facing homelessness or is in an emergency situation where they require temporary shelter needs an emergency shelter intake form.
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The emergency shelter intake form is a document used to collect essential information from individuals seeking assistance at an emergency shelter, including their personal details and circumstances.
Individuals who are seeking emergency shelter services are required to fill out the emergency shelter intake form.
To fill out the emergency shelter intake form, individuals typically need to provide personal information, details of their current situation, and any specific needs they may have. It's important to follow the instructions provided with the form.
The purpose of the emergency shelter intake form is to assess the needs of the individual, ensure proper allocation of resources, and streamline the intake process in shelters.
The information that must be reported includes personal identification information, family composition, current living situation, reasons for seeking shelter, and any other relevant details that can assist in providing help.
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