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Homeless Certification Form - High School (CA Dept of Education) Subject This form is to be completed for homeless youths under 25 years of age to obtain a fee waiver for a High School Equivalency Test and/or the California High School Proficiency Examination \(CHSPE\).
Please provide verification of homelessness on your agency letterhead. The recommended template below may be copied onto letterhead or recreated with the same content and printed on letterhead. Please complete separate verification letters for each episode of homelessness, as required by HUD.
The Santa Clara County CoC understands the importance of program compliance and have created forms that can be used as tools to assist service providers in complying with complex components of implementation. Eligibility Verification. Sample Form - Third Party Certification of Income. HPAT . Victim Services Screening Tool and Handouts.
Complete Self-Certification of Homeless form with client. To document verification of disability a licensed health care professional, who can diagnose and treat the condition being verified, needs to complete the Verification of Disability form that can be found on the last page of this packet.
If you need the county to help get the proof, fill out the “Authorization for Release of Information” form and return it to the county. For CalWORKs only: If there is a cost to get the proof, the county can pay the fee for you.
Launcher General. Apps Universal Housing App NEW Capacity Building Continuum of Care Coordinated Entry System FileShare Funding HMIS Homeless Count Resource Management System Housing Extension LA-HOP Legislative Affairs MyOrg People New Policy Veterans By Name EGMS (LAHSA staff) EGMS All Apps
The Homelessness Certification is used by agencies* to affirm an individual or family is experiencing homelessness at the time the certification is completed. Please read each option. Check the box of the person’s living situation and the type of verification attached:
