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Get Homeless Shelter Intake Form 2014-2024

Ber or Other Means of Contact: Alternate Means of Contact: Current Living Situation (Note: Must Meet HUD Definition of Homelessness) Please check one: Non-housing (street, car, park, etc.) Emergency shelter Transitional housing after having been homeless Note: If the participant came from an institution (such as a mental health/substance abuse treatment facility) but was there less than 30 days and was living on the street or in emergency shelter before entering the treatment facility, he/.

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