Homelessness Prevention Forms
Eligible participants for Pasadena’s ESG Homelessness Prevention (HP) program are those that are at-risk of homelessness (as defined by HUD) or meet HUD’s category 2, 3, or 4 definition for homelessness and have a total household income below 30 percent of the median family income for the area, as determined by HUD.
To verify eligibility upon entry, programs should complete the relevant Certification of HP Eligibility form (there are separate forms for those At-Risk of Homelessness and those who are Homeless under HUD Categories 2, 3, or 4) as well as an ESG Income Eligibility Worksheet. To provide continued support, programs must verify continued eligibility every three months using the Homelessness Prevention Re-Evaluation of Eligibility form and an ESG Income Eligibility Worksheet.
All eligibility forms should be accompanied by supporting documentation. To assist in this process, the Pasadena Partnership has created forms for documenting client’s housing status and income (see below). Together with the eligibility certifications, these documents must be maintained in the client’s file.
Documentation of Housing Status
Pasadena Partnership’s housing status verification forms include:
Rental Assistance Forms
Pasadena Partnership’s rental assistance forms include: