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Reset Form Print Form 2000 Embarcadero Cove, Suite 400 Oakland, California 94606 (510) 7772112 / FAX (877) 3415867 ALCOHOL, DRUG & MENTAL HEALTH SERVICES BHCSHousing Services Office Emergency/Interim
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To fill out emergency housing referral forms, follow these steps:

01
Gather necessary information: Begin by collecting the required information for the referral form. This may include personal details such as name, contact information, social security number, date of birth, and current address.
02
Determine the reason for referral: Understand the specific circumstances that qualify an individual for emergency housing assistance. Common reasons may include homelessness, housing instability, domestic violence, or natural disasters.
03
Contact the appropriate agency: Locate the agency responsible for emergency housing referrals in your area. This can typically be done by reaching out to local government offices, social service organizations, or non-profit agencies specializing in homelessness and housing assistance.
04
Request a referral form: Contact the identified agency and request an emergency housing referral form. Inquire about any specific requirements or additional documentation that may be needed to support the referral.
05
Fill out the form accurately: Carefully complete the referral form, ensuring that all required fields are filled accurately and thoroughly. Provide as much relevant information as possible to help expedite the process.
06
Attach supporting documentation: If any additional documentation is required, such as proof of income, identification documents, or eviction notices, make sure to include them with the referral form. This will help the agency assess the emergency housing needs more efficiently.
07
Review and submit the form: Double-check the completed form for any errors or omissions. Ensure that it is signed and dated, and then submit it to the designated agency within the specified timeline. Follow any specific submission instructions provided by the agency.

Who needs emergency housing referral forms?

Emergency housing referral forms are typically required by individuals or families facing housing crises or instability. This may include individuals experiencing homelessness, those at risk of eviction, survivors of domestic violence, or individuals affected by natural disasters. These forms help connect individuals in need to available housing resources and support services in their community.
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Emergency housing referral forms are documents used to request emergency shelter or housing assistance for individuals or families in crisis situations.
Social workers, case managers, or designated officials are typically required to file emergency housing referral forms on behalf of individuals or families in need of emergency shelter or housing assistance.
Emergency housing referral forms must be completed by providing detailed information about the individual or family in crisis, including the reason for the request, any special needs or accommodations required, and contact information.
The purpose of emergency housing referral forms is to connect individuals or families in crisis with appropriate emergency shelter or housing resources to ensure their safety and well-being.
Information such as the individual or family's demographics, current living situation, income, household composition, and any pertinent medical or social service needs must be reported on emergency housing referral forms.
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