Permanent Supportive Housing Forms
The target population for Pasadena’s CoC-PSH is chronically homeless individuals or families. To verify chronic homeless status, programs should complete a Certification of Chronic Homeless Status checklist which should be accompanied by supporting documentation of homeless status and disability, or a DedicatedPLUS Verification Packet. Together, these documents must be maintained in the client’s file.
Documentation of Homeless Status
In order of preference for documenting homeless status, Pasadena Partnership’s homeless status verification forms include:
*When documenting chronic homelessness, 9 of the 12 months or 3 of the 4 occasions must be documented through one of the first three methods. The remaining time period can be documented through self-declaration.
Documentation of Disability
Evidence of disability may include (in order of preference):
E.g. Social Security Disability Insurance or Veterans Disability Compensation
Confirmed by a Certification of Disability form < 45 days after application for assistance
Documentation of Institutional Stay
In addition to documenting disability and length/frequency of homeless status, individuals residing in an institution for less than 90 days (including a jail, substance abuse or mental health treatment facility, hospital, or other similar facility) must provide documentation of their stay. Acceptable evidence includes either: