Los Angeles Homeless Services Authority Forms and Office Locations – Government Agency in Los Angeles, CA

1 - 20 of 69 forms

Form Title	Topics
2018-2019 PARTICIPANT ELIGIBILITY SCREENING FORM FOR RRH ALL POPULATIONS - SPANISH
2018-2019 PARTICIPANT ELIGIBILITY SCREENING FORM- HOUSING NAVIGATION PROGRAM FOR YOUTH AND ADULTS
2018 SHALLOW SUBSIDY FOR RAPID RE-HOUSING FUNDER REFERENCE CHECK FORM
3RD PARTY INCOME VERIFICATION FORM
ASSET DECLARATION FORM
ASSET DECLARATION FORM - SPANISH
BRIDGE HOUSING PROGRAM 90-DAY EXTENSION FORM
CES FOR FAMILIES HMIS PROGRAM ENROLLMENT
CES FOR FAMILIES SCREENING TOOL
CES PARTICIPANT REVIEW REQUEST FORM 2972
CES SURVEY FOR FAMILIES VI-FSPDAT
CES SURVEY FOR INDIVIDUALS SURVEY PACKET
CONSENT TO SHARE PROTECTED PERSONAL INFORMATION (ENGLISH)
DEDICATED PLUS VERIFICATION PACKET
DISCLOSURE REPORT - REVISED
DOMESTIC VIOLENCE, HUMAN TRAFFICKING, SEXUAL ASSAULT, AND STALKING SELF-CERTIFICATION FORM - EMERGENCY HOUSING VOUCHER (EHV)
DPSS CLIENT RIGHT OF ACCESS FORM (PA 6264)
EXHIBIT R - REPORTING FORMS
EXIT SUMMARY FORM - RUSSIAN
FINAL FY2021 APPEALS PROCESS AND FORM

1 contact point

Address:
707 Wilshire Blvd.
10th Floor
Los Angeles, CA 90017

Phone numbers:

Los Angeles Homeless Services Authority