top of page
Form Instructions for Case Workers

Please only provide information for one unit at a time and then press submit. If you don't have information for a particular field, leave it blank or enter n/a.

* Special Needs is defined as individuals who are physically, developmentally, or mentally disabled.

Homeless households are defined as any of the following:

  • Individuals and families who lack a fixed, regular, and adequate nighttime residence (this includes individuals who are exiting an institution where they resided for 90 days or fewer and who resided in an emergency shelter or a place not meant for human habitation immediately before entering that institution).

  • Individuals and families who will imminently lose their primary nighttime residence.

  • Unaccompanied youth and families with children and youth who are defined as homeless under other federal statutes and who do not otherwise qualify as homeless under this definition.

  • People who are fleeing or attempting to flee domestic violence, dating violence, sexual assault, stalking, or other dangerous or life-threatening conditions that relate to violence against them or a family member.


*Permanent Supportive Housing is defined as having all of the following characteristics:

  • Targeted to individuals, households, and/or families with a history of homelessness (defined above) or living for extended periods of time in institutional care

  • Have at least one chronic disabling condition

  • Housing units are designed to allow the tenant to live independently

  • Affordable to households at <= 30% of area median income

  • Supportive services are designed to increase rates of housing stability and retention

  • Tenants have leases and participation in supportive services is not a condition of tenancy

bottom of page