Preventing and Ending Homelessness on the Treasure Coast.

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Case Management Forms   arrow

This page contains the required documents used by TCHSC to provide financial assistance to qualified individuals.

Income guidelines:
To qualify, household income must meet the following income limit:
ESG – At or below 30% of AMI
SSVF(Veterans) – At or below 50% of AMI

Case File Sequence
Prescreen Forms
All prescreens are required to be entered into Client Track.
Please see this step by step instruction sheet to access the coordinated entry in HMIS: ClientTrack Prescreen Instructions

Intake Documents
TCHSC Intake Form
New Housing plan- Budget

Client Consent Forms
Client Consent for Data Collection
Release of Information – Financial

Client Consent for Follow Up 

Rent Reasonableness
2019 Rent-Reasonableness-MC

Utility Allowance
IRC Apartment in Vero
IRC Apartment Outside of Vero
IRC Apartment with City of Vero Beach Utilities
IRC Apartment with FPL & IRC Water
IRC Single Family in Vero
IRC Single Family Outside of Vero
IRC Single Family with City of Vero Beach Utilities
IRC Single Family with FPL
St. Lucie County Apartment
St. Lucie County Mobile Home
St. Lucie County Single Family
Martin County Apartment
Martin County Single Family

Request for Funds
Request for Funds  

Inspection Forms
Habitability Standards
Lead-Based Screening

Landlord/Utility Documents 
Current Landlord Information
New Landlord Information
Utility Worksheet

SSVF Forms
SSVF Income Calculation Worksheet Staff_Certification_of_Eligibility_for_SSVF_Assistance SSVF_Self_Declaration_of_Housing_Status

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