FORMS

Coordinated EntrySelf-Affidavit Documentation of Homelessness
Verification of Disability

Direct Client Services FundDCSF Overview
DCSF Reimbursement Policy

Community Referral FormsHomeless Court application

HMIS Forms for Case ManagersClient Consent Form Packet

  • Client Consent of Data Collection Form: required for ALL clients entered into HMIS
  • Client Release of Information Consent Form: required for ALL clients entered into HMIS
  • Client Consent to Collect Critical Documents

Client Notice Poster HMIS AGENCY
This notice is to be posted at ALL client interview areas where data is collected. Place notice in areas clearly visible to the client.

End User Security Agreement 
Required of ALL HMIS End Users and should be executed immediately following the mandatory HMIS End User Security and Privacy Training.

CoC HMIS Participating Agency Agreement between TCHC and the AGENCY
Details the responsibilities of TCHC, as HMIS Administrator for the Continuum of Care, and Agencies that will collect data within the system. The document is an agreement between the authorized representative of TCHC and the Participating Agencies.

ETO Site or Program Creation Packet 
Request for Program Data Migration 
Request for Program Data Merger