Agenda 02/09/2010 Item #16D2
Agenda Item No. 1602
February 9,2010
Page 1 of 55
EXECUTIVE SUMMARY
Recommendation to approve the Homelessness Prevention and Rapid Re-Housing
Program (HPRP) Administrative Plan which provides guidance on the programmatic
design, eligibility guidelines and assistance limitations for agencies participating in the
HPRP program. HPRP is a Department of Housing and Urban Development (HVD)
program designed to provide financial assistance and services to individuals and families
who are homeless or at risk of becoming homeless. Collier County has received $888,850 in
federal funding to support the HPRP program.
OBJECTIVE: To assist HPRP agencies in providing care for the homeless and at risk
population, through the Board of County Commissioners' (BCC) acceptance of the
Homelessness Prevention and Rapid Re-Housing Administrative Plan. This plan provides
guidance on the programmatic design, eligibility guidelines, and assistance limitations for
participating agencies.
CONSIDERATIONS: On April 22, 2008 the Board adopted Resolution No. 2008-121
approving the submittal of the annual Action Plan to HUD for $3,089,381.00 in federal
entitlement funds for FY 2008-2009. On February 17, 2009 Congress passed the American
Recovery and Reinvestment Act of 2009 (ARRA) and designated $1.5 billion for communities to
provide fmancial assistance and services to either prevent individuals and families from
becoming homeless or help those who are experiencing homelessness to be quickly re- housed
and stabilized.
In March 2009, Collier County was notified it would be allotted $888,850 in HPRP funding once
it made a substantial amendment to its FY2008-2009 Action Plan, submitted it to HUD, and
received HVD approval. HHS prepared the required documentation and the BCC approved the
HPRP amendment submission and the associated budget amendment on May 12,2009
(Item 1604). HUD granted Collier County it's allocation of HPRP funding and the BCC
accepted the funding on July 28, 2009, (lteml6D 18). The subsequent sub-recipient agreements
were approved by the BCC on September 15, 2009, (ItemI6D20). As part of the BCC approval
process, the Hunger and Homeless Coalition (HHC), one of the HPRP subrecipients was to
create an administrative plan to provide programmatic guidelines for HPRP participating
agencies.
FISCAL IMPACT: Acceptance of this administrative plan will have no effect on general
funds. The HPRP program is totally supported by grant funding.
GROWTH MANAGEMENT IMPACT: Implementation of homelessness assistance grants
will help facilitate efforts to meet the goals, objectives and policies set forth in the Housing
Element of the Growth Management Plan.
LEGAL CONSIDERATIONS: This agreement has been reviewed and approved by the County
Attorney's Office and is legally sufficient for Board action. - CMG
Agenda Item No. 16D2
February 9, 2010
Page 2 of 55
RECOMMENDATION: That the Board of County Commissioners approve and authorize the
use of HPRP Administrative Plan as the programmatic guidelines for use by all HPRP
subrccipient agencies.
Prepared by: Margo Castorena, Grant Operations Manager
Housing and Human Services Department
Item Number:
Item Summary:
Meeting Date:
Agenda Item No. 16D2
February 9, 2010
Page 3 of 55
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
1602
Recommendation to approve the Homelessness Prevention and Rapid Re-Housing Program
(HPRP) Administrative Plan which provides guidance on the programmatic design, eligibility
guidelines and assistance limitations for agencies participating in the HPRP program. HPRP
is a Department of Housing and Urban Deveiopment (HUD) program designed to provide
financial assistance and services to individuals and families who are homeless or at risk of
becoming homeless. Coliier County has received $888,850 in federal funding to support the
HPRP program.
2/9/20109:00:00 AM
Date
Prepared By
Margo Castorena
Public Services
Director
Domestic Animal Services
1/25/20102:59:12 PM
Date
Approved By
Marcy Krumbine
Public Services Division
Director - Housing & Human Services
Human Services
1126/2010 11:38AM
Date
Approved By
Marla Ramsey
Public Services Division
Administrator - Public Services
Public Services Division
1/26/20103:39 PM
Date
Approved By
Kathy Carpenter
Public Services
Executive Secretary
Public Services Admin.
1/26/20103:42 PM
Date
Approved By
Colleen Greene
County Attorney
Assistant County Attorney
County Attorney
1/27/20109:22 AM
Date
Approved By
Marlene J. Foard
Administrative Services
Division
Grant Development & Mgmt Coordinator
Administrative Services Division
1/27/20101 :09 PM
Date
Approved By
OMB Coordinator
County Manager's Office
Office of Management & Budget
1/28/201010:59 AM
Date
Approved By
Sherry Pryor
Office of Management &
Budget
ManagemenU Budget Analyst, Senior
Office of Management & Budget
1/29/201012:25 PM
Approved By
Jeff Klatzkow
Agenda Item No. 16D2
February 9,2010
Page 4 of 55
County Attorney
Date
1/29/20103:19 PM
Date
Approved By
Mark Isackson
Office of Management &
Budget
Management/Budget Analyst, Senior
Office of Management & Budget
1/31/20109:08 AM
Agenda Item No. 1602
February 9, 2010
Page 5 of 55
HOMELESS PREVENTION AND
RAPID RE-HOUSING PROGRAM
(HPRP)
ADMINISTRATIVE PLAN
2009
Financial support made available through
Collier Co. Housing & Human Services
. ~~""ENTO..
to "t.
l 111.11 \
~~ ~.:!~~:;
(i)
ThIs AdmlnllltrstJve Plen, prepared by the Hunger & HomelBSS CDIIlltlon of Collier County, Is a
gUide for the HomelBSS Pnwflf1t1on and Rapid Re-Hous/ng Program (HPRP)
This program Is coordinated by the Hunger & HomelBSS CDIIlltlon
1044 6th AVfIf1ue North, Naples, FL 34102
239-263-9868
www.colllsrhomI11811l1coalltlon.org
Agenda Item No. 16D2
February 9, 2010
Page 7 of 55
J II. Introduction
Congress has designated $1.5 billion for communities to provide financial assistance and
services to either prevent individuals and families from becoming homeless or help those
who are experiencing homelessness to be quickly re-housed and stabilized. The American
Recovery and Reinvestment Act of 2009, Public law 111-5 (Recovery Act) established the
Homeless Prevention and Rapid Re-housing Program (HPRP).
The Department of Housing and Urban Development (HUD) required Collier County to
submit a Substantial Amendment to the 2008 Consolidated Action Plan. The required
Amendment was approved by the Collier County Board of County Commissioners.
Collier County has been allocated $888,850.00 for the Homelessness Prevention and Rapid
Re-Housing Program (HPRP). The purpose of HPRP is to provide homelessness prevention
assistance to households who would otherwise become homeless-many due to the
economic crisis-and to provide assistance to rapidly re-house persons who are homeless
as defined by section 103 ofthe McKinney-Vento Homeless Assistance Act (42 U.S.c.
11302). HPRP is focused on housing for homeless and at-risk households, It will provide
temporary financial assistance and housing relocation and stabilization services to
individuals and families who are homeless or would be homeless but for this assistance.
The Hunger and Homeless Coalition (HHC) together with participating agencies, has
developed a comprehensive prevention and rapid re-housing program for Collier County
and HHC will provide overall coordination ofthe Homeless Prevention and Rapid Re-
Housing Program (HPRP).
This Administrative Plan is a guide for operating the Homeless Prevention and Rapid Re-
housing Program. The major focus ofthis guide is on the Program requirements and
regulations and the following (3) eligible activities: Financial Assistance, Housing Relocation
and Stabilization Services and Data Collection and Evaluation.
--
.
.
.
Agenda Item No. 16D2
February 9, 2010
Page 8 of 55
Process Map
J
.""
.
Homeless Prevention and Rapid Re-Housing Program fur Collier County
Agenda Item No. 16D2
February 9, 2010
Page 9 of 55
Salvation Army and Catholic Charities
. Routine Intake and Consultation
. Screening for HPRP
Assessment Form
completed by
Intake Specialist
and
evaluated
Agency provides routine
NON-HPRP services
c,.,E )
................._.. Client Infurmation entered
into HMIS Client Track
Client determined to be
ELIGIBLE
for HPRP
Client determined to be
INELIGmLE
for HPRP (Level 4)
Level of Assistance Client given
Determined
Levell-Short Term Rental r-- "Document ChecldJsf'
Assistance
Level 2-Med Term
Levet 3-Rapid Re-housing
Documentation
Received
(If documentation incomplete.
second appointment may be
given.)
See next page
.
.
.
Agenda Item No. 16D2
February 9,2010
Page 10 of 55
Homeless Prevention and Rapid Re- Housing Program for Collier County
I See Page 3 I
Documentation
Reviewed
and
attached to
Assessment Form
Level of
Assistance
conftrmed
2
See next page
J
Homeless Prevention and Rapid Re- Housing Program for Collier County
Agenda Item No. 1602
February 9, 2010
Page 11 of 55
Landlord Form
fuxed to Landlord or
given to client to deliver
-,
Landlord Form
received and verified by
Intake Specialist
Note: lfbuilt before 1978 andfam-
ily has a child under 6, RR lead
based paint requirements.
Request for Financial
Assistance Form (RF AF)
completed
Forwarded to agency's
accounting department for
check processing
Copy of RFAF should be
maintained in the ellentfile
Update Track updated
CCHHC generates
HMIS report approx 3
weeks after case opened
(weekly report)
--
Sent to Youth Haven
for 30 day Follow-up
Utilities Assistance
or other eligible
assistance requests
. Copy of current past
due notice
. Invoice from
company (storage,
moving, etc)
Rental Assistance cbeck
sent to Landlord
Copy of check maintained in
the elient file
Update Client Track
At 30 days, Youth
Haven contacts client to
_ determine if any next
steps needed.
Document Oient Track
3
Referral to HOC for
Financial Education
Course-- Mandatory
Referral to Legal aid
or other resources--
if necessary
End of process for
the Intake Agency
Youth Haven closes the
file in HMIS after
_ 3 months
End of Process
See next page
.
.
.
Agenda Item No. 1602
February 9, 2010
Page 12 of 55
Homeless Prevention and Rapid Re- Housing Program for Collier County
C=~~1Y
*
Youth Haven Case Manager
. Routine Intake and Consultation
. Screening for HPRP
Assessment Form
. Completed and Evaluated by Case
Manager
. Documentation Checklist completed
. Documentation received and verified
Client determined to be
ELIGIBLE
for HPRP
Client determined to be
INELIGffiLE
for HPRP (Level 4)
Level of Assistance
Determined
If Levell-refer to Salvation Army or Catholic
Charities
If Level 2-proceed to next page
If Level 3- See page 6
4
Agency provides routine
NON-HPRP services
Client Information entered
into HMIS Client Track
-- ( End process )
--
See next page
--
)
Homeless Prevention and Rapid Re- Housing Program fur Collier County
Agenda Item No. 1602
February 9,2010
Page 13 of 55
I Rental Assistance I
Landlord Form
mxed to Landlord or
given to client to deliver
~
Landlord Form*
received and verified by Intake
Specialist
Request for Financial
Assistance Form
Completed and forwarded
to agency's accounting
department for check
Processing. Copy should be
maintained in the clientfile.
Client Track updated
.
At 30 days, Youth
Haven contacts client to
determine if any next
steps are needed.
Documents Client Track
Case Manager
Develops a Case Plan
Determines the amount
of financial assistance
and
services needed
Utilities Assistance
Utilities Assistance
or other eligible
assistance requests
. Copy of current past
due notice
. Invoice from
company (storage,
moving, etc)
Rental Assistance check
sent to Landlord or
other eligible entity
Copy of check maintained
in the client file
Client Track updated
--
Youth Haven evaluates
every 3 months to
determine jfany
additional services are
needed.
Referrals
f
Referral to HOC
for Financial
Education Course if
necessary
Referral to Legal
aid or other
Resources if
necessary
Case Management
Home Visits and linkage
to services
Youth Haven closes
case file in HMIS
Client Track
End Process
* lfbuilding was built before 1978 andfamily has a child under 6, a building inspection is required
Agenda Item No. 1602
February 9, 2010
Page 14 of 55
Homeless Prevention and Rapid Re- Housing Program for Collier County
.
Referrals from Salvation
Army,
Catholic Charities, Youth
Haven, and other agencies
Eligible clients identified
by case manager from area
shelters and Public school
liaison.
Collier Housing Authority
Rapid Re-housing Case Manager
. Assessment Form completed and evaluated
Client determined to be
. INELIGIBLE
for HPRP (Level 4)
J!1
Assessment Form
Level of Assistance
Determined
If Levell-refer to Salvation Army
or Catholic Charities
Client Ioformation entered
If Level 2-refer to Youth Haven into HMIS Client Track
. If Level 3-
. Documentation Checklist --
completed
. Documentation received and
verified. See next page.
.
6 See next page
Agenda Item No. 1602
February 9, 2010
Page 15 of 55
Homeless Prevention and Rapid Re-Housing Program for Collier County
..)
Case Manager Develops
Individualized Case PIan for
Housing Relocation and Stabilization
-to assure barriers to securing and maintaining new housing
are addressed and overcome.
1
Housing Search Assistance Household Budgeting
1 . Fair Housing brochures . Basic Budget Completed
. List of available housing . Review employment/income
and map oflocations . Referral HDC if necessary
. Things to look for in an -Credit Report obtained
Apartment * Legal Counseling
. Information on lead-based Refer to Legal Aid if necessary
paint . Court Documentation
. Check for eviction filings
Record all contacts made
on behalf of client
--
.
7
See next page
.
.
.
Agenda Item No. 1602
February 9, 2010
Page 16 of 55
Homeless Prevention and Rapid Re-Housing Program for Collier County
Financial Assistance
Rent
Rental Application
received by Case Manager
Utilities Assistance
& other
Housiog Startnp Costs
Utilities Assistance
or other eligible
assistance requests
. Copy of current past
due notice
. Invoice from
company (storage,
moving, etc)
~
Rapid Re-housing Case
Manager makes home
visits and links client to
other resources as
needed. All services
documented and entered
in Client Track
Rent Reasonableness
Worksheet Completed
Habitability Inspections
Completed. Form is required
for:
. New Leases
. Any change in tenancy
. Every 12 months if the
household continues to
receive assistance
Lead-based Paint Inspection
performed at time of
Habitability Inspection
Request for Financial
Assistance Form
Completed and forwarded
to agency's accounting
department for check
Processing. Copy should be
maintained in the client file.
Rental Lease
Agreement
received by
Case Manager
Rental Assistance Check
sent to Landlord or other
__ eligible entity
Client Track updated
Case Manager re-
evaluates every 3
months
For at least 6 months to
determine if any
additional services are
needed.
Copy of check maintained
in the client file
Client Track updated
--
HMIS Client Track
End Process
Agenda Item No. 1602
February 9, 2010
Page 17 of 55
.) II. HPRP Program Requirements and Regulations
A. General
The two populations eligible for HPRP are as follows:
1. persons who are still housed but at risk of becoming homeless
2. persons who are already homeless
.
Persons in both target populations are eligible to receive financial assistance.
B, Policies
1. Any individual or family provided with financial assistance through HPRP
must have at least an initial consultation with a case manager or intake specialist
to determine the appropriate type of assistance to meet their needs.
All agencies will use the uniform HPRP screening and assessment tool.
2. The household must be at or below SO percent of Area Median Income
(AMI).
1 Collier County Eligibility Screening Chart:
FY 2009 .
Income 1 2 3 4 5 6 7 8
Limit Person Person Person Person Person Person Person Person
Category
Very
Low-50% 24,800 28,300 31,850 35,400 38,250 41,050 43,900 46,750
Income
Limits
Extremely
Low
(30%) 14,900 17,000 19,150 21,250 22,950 24,650 26,350 28,050
Income
Limits
.
.
.
.
Agenda Item No. 1602
February 9, 2010
Page 18 of 55
3. The household must be either homeless or at risk of losing its housing and
meet both the following circumstances: (1) no appropriate subsequent housing
options have been identified; AND (2) the household lacks the financial
resources and support networks needed to obtain immediate housing or remain
in its existing housing.
4. HUD strongly encourages communities to consider more factors when
designing programs to determine a household's level of need for receiving
assistance through HPRP. The defining question to ask Is: "Would this individual
or family be homeless but for this assistance?" The housing barrier screening is
part of the uniform HPRP Assessment which lists potential "risk factors" to
determine levels of assistance.
C. Regulations
1. Physical Case File
Maintain one physical case file for all program participants
2. Eligibility Documentation
Verify and document individual's risk of homelessness and certify the eligibility
of prQgram participants at least once every 3 months for all persons receiving
medium-term rental assistance. The following pages include:
1. HUD Oocumentation for Homeless Persons
2. HUD Documentation for Persons At-Risk of Homelessness
.)
,
.
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February 9,2010
Page 21 of 55
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February 9, 2010
Page 22 of 55
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February 9, 2010
Page 23 of 55
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Agenda Item No. 16D2
February 9, 2010
Page 24 of 55
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Agenda Item No. 16D2
February 9, 2010
Page 25 of 55
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Agenda Item No. 1602
February 9,2010
Page 26 of 55
U.S, Deportment of Howling & Urban Devllopmlnt (HUD)
Homol...n... PnlYentlon & Rapid Ro-Houolng Program (HPRP)
3. Houling OptlonsIR..oun:os Eligibility Documentation (requlNd for all HPRP applicants)
Nota: ~ -.u....-mNt____houslnl/opt/on$ _lUGu..... for 011 HPRPopp/kanU,_.,.
ap__
_.-
options tt.ve been
--
.
Financial Rnourne
and Support Nftwarb
V.a, Wthepartlcip8nt
lacka the 1lnanci81
_1IIld
support networks
needMJ to obtain
Immediatlt housing
or remain In their
exlt.1ing housing
.
-0
__ by HPRP....
tnlf1IIgel" or other authorized
HPRP a'-lf
Auesament ~ f1nancllit
I'8IOUrces and support
networlta by HPRP cue
managw or ather authorized
HF'RP std.
. AaMU 'NtIh appIcInt II ott.' appropriate (I.... ..,., doni....
-)"'_-0__
. VertI't th8I. no oth.- approprtate .ubHquenl. housing optionI are
_.
. Aa:aNsrntnt Must
o Be documentM:I by HPRP cue manager or otherauttlorized
.lotI,
o Include aueument IUmmary or other statement Indicatilg
tt.t applicant hu no other apprvpria. houI,ing options.
o Be a1gned and datecl by HPRP c:asa mIlnaget or other
authorized HPRP ald.
. Induct. ......ment and vertfIc:dan of no other subsequent housing
options'" pMtdput cue fI..
..AND-
. ,..... wtth appIIcant.n finandlll r8IOUI'CeI AND support netwoIb
(I.... frtendl. flmIy or other pel'lOnalsoul'CM of financial or material
1UppOr1)
. vertfy thE appllamt s.cks f1nandllll F'8SOW'C8Ii and support netwgrk!&
toobtllin othIIr~ lUbMquent nauitftior nllnalin In: tbIIt"
housing.
. Aue&Iment Mint
o Be documlJtlted by HPRP cue manager or other authortzed
_.
o Indude rev6ew at wrrent aa:ount balanca In checIUng and
AYinga accounta held by applanl household.
o Inciude aueament summary or other statement Indicating
th8I: applicant IIICks flnancIaIl'MOUrces and IUPport
netwotks to obtain other approprtCe subsequent hou.ing or
remIIin in their housing.
o Be signed and dated by HPRP cue manager or otiMIr
authorized HPRP _taft'
Include IIHOIlmllnt and verification of Insufflcient flnancill r8lOUrcea
and IU netwOfb In rticl nt case Ne.
Pagll11 of11
.J
""'
.
Agenda Item No. 1602
February 9,2010
Page 27 of 55
D. Compliance with Fair Housing and Civil Rights laws
o 2~ CFR 5,105(a)
o Title VI of the Civil Rights Act of 1964
o Section 504 of the Rehabilitation Act of 1973
o Section 109 ofthe Housing and pg31
E. Confidentiality
The confidentiality of record pertaining to any individual provided with
assistance and the address or location of any assisted housing will not be made
public, except to the extent that this prohibition contradicts a preexisting privacy
policy of the grantee,
F. Habitability Standards
Rapid Re-housing requires inspections of housing units into which a program
participant will be moving,
Grantee must follow the habitability standard listed in Appendix C of HUD
[Docket No, FR-5307-N-01]. Habitability inspections will be performed by the
Collier County Housing Authority,
G. Lead-Based Paint Requirements
Lead-Based Paint Poisoning Prevention Act (42 U,S.C, 4801 et seq.) as amended
by the Residential Lead-Based Paint Hazard Reduction Act of 1992(42 U.S.C, 4851
et seq.) and Implementing regulations at 24 CFP part 35, subparts A,B,M and R6,
shall apply to housing occupied by families receiving assistance through HPRP.
H. Administrative Requirements
1. All States, Territories, Urban Counties, and Metropolitan cities receiving
funds under HPRP shall be subject to the requirements of 24 CFR part 85.
2. Non-profit sub grantees shall be subject to the requirements of 24 CFR Part
84,
Agenda Item No. 1602
February 9,2010
Page 28 of 55
.
I. Payment Procedures
1. Participating sub grantees shall present Collier County Housing and Human
Services with Request for Payment packages for payment against established
expegses.
2. Eligible activities are outlined in the US Department of Housing and Urban
Development [Docket No, FR-5307-N-Ol], and must be listed in the scope and
budget of the sub recipient agreements with Collier County.
a. Eligible activities: Rent assistance utility assistance, rent and utility
deposit, security deposits, hotel/motel vouchers, moving/storage, case
management salary, benefits, mileage, housing inspector salary,
3, Any performance milestones are in effect for program monitoring
requirements only, and as such, are used by HHS, HUD and other grantor
agencies as general target goals rather than strict performance requirements,
.
.
Agenda Item No, 1602
February 9. 2010
Page 29 of 55
J /11I. Financial Assistance
A. Objective
To provide financial assistance and services to prevent individuals and families from
becoming homeless.
B. Policies for eligible cost types
Eligible cost types are: rental assistance, security deposits, utility payments/deposits,
moving and storage costs, or hotel/motel vouchers
1. Rental Assistance, either the client portion or the subsidy.
,
Short-term rental assistance: up to $1,200, Per client (including payments for
arrears). If program participants receiving short-term rental assistance need
additional financial assistance to remain housed, they must be evaluated for
eligibllity to receive medium-term rental assistance,
Medium-term rental assistance: may not exceed $3,000. Per client (including
payments for arrears),
Rapid Re-housin2 assistance: may not exceed $5,000, Per client (including
payments for arrears).
All rental assistance
a) Grantees may require program participants to share in the costs of rent
assistance as a condition of receiving HPRP assistance.
b) Grantees may set a maximum amount of assistance that a single
individual or family ray receive of HPRP funds, or may set a maximum
number of times the participant may receive services.
c) Must be paid to third party (landlord)
d) Property may not be owned by grantee, sub-grantee, subsidiary, or
affiliated organization of the sub-grantee
ej May not be used if receiving assistance through another housing program
f) Rental assistance amounts are determined by the grantee or sub-grantee,
Rental assistance may include: shallow subsidies (portion of rent payment),
100 percent rent payment, graduated/declining subsidies, or rental arrears (if
it allows the participant to avoid homelessness). Rental arrears payments
must be subtracted from the total of program participation.
.
Agenda Item No. 1602
February 9, 2010
Page 30 of 55
.
g) Rental assistance paid cannot exceed the actual rental cost, which must
be in compliance with HUD's standard of "rent reasonableness".
"Rent reasonableness" means that the total rent charged for a unit
must be reasonable in relation to the rents being charged during the
same time period for comparable units in the private unassisted
market and must not be in excess of rents being charged by the owner
during the same time period for comparable non-luxury unassisted
units, To make this determination, the grantee ar subgrantee should
consider (a) the locatian, quality, size, type, and age of the unit; and
(b) any amenities, housing services, maintenance and utilities to be
provided by the owner, Comparable rents can be checked by using a
market study, by reviewing comparable units advertised for rent, or
with a note from the property owner verifying the comparability of
charged rents to other units owned (for example, the landlord would
document the rents paid in other units), For more information, see
HUD's worksheet on rent reasonableness at:
www,hud. gov/offices/cpd/affordablehousing/library/forms/rentreaso
nablechecklist. doc,
2. Security deposits
.
May be used in conjunction with other housing assistance programs, but must
cover a different cost type,
Example of this would be providing a security deposit for a participant
in the HUD-VA Supportive Housing (HUD-VASH) program, which
provides rental assistance and services, A program description of
HUD-VASH can be found at:
http://www.hud. gov/offices/pih/programs/hcv/vash/index,cfm.
3, Utility deposits, utility payments
a) Short term assistance $1200, Per client, Medium term $3000. Per client
and Rapid Re-housing, $5000. Per client may be used for utility payments,
including up to 6 months of utility payments in arrears,
b) Program participant or a member of his/her household has must have an
account in his/her name with a utility company or proof of responsibility to
make utility payments, such as cancelled checks or receipts in his/her name
from a utility company.
.
J
")
..
Agenda Item No, 1602
February 9. 2010
Page 31 of 55
4, Moving cost assistance
a) May be used for reasonable moving costs, such as truck rental, hiring a
moving company,
b) May be used for short-term storage fees for a maximum of 3 months or
until the program participant is in housing, whichever is shorter.
5. Hotel/motel vouchers
May be used for reasonable and appropriate motel and hotel vouchers for up to
30 days if no appropriate shelter beds are available and subsequent rental
housing has been identified but is not immediately available for move-in by the
program participants.
C. Income Inclusions and documentation
1. List below presents the HPRP income inclusions, The following types of income must be
counted when calculating gross income:
1. Earned Income: The full amount of gross income earned before taxes and deductions.
2, Business Income: The net Income earned from the operation of a business, i.e., total
revenue minus rJusiness operating expenses. This also includes any withdrawals of cash
from the business or profession for your personal use.
3. Interest & Dividend Income, Monthly interest and dividend income credited to an
applicant's bank account and available for use.
4. Pension/Retirement Income. The monthly payment amount received from Social
Security, annuities, retirement funds, pensions, disability and other similar types of
periodic payments.
5. Unemployment & Disability Income. Any monthly payments in lieu of earnings, such
as: unemployment, disability compensation, SSI, SSDI, and worker's compensation.
6. TANF/Public Assistance. Monthly income from government agencies excluding
amounts designated for shelter, and utilities, WIC, food stamps, and child care.
7. Alimony, Child Support and Foster Care Income. Alimony, child support and foster
care payments received from organizations or from persons not residing in the dweiling.
8. Armed Forces Income All basic pay, special day and allowances of a member of the
Armed Forces excluding special pay for exposure to hostile fire.
2, The following charts outline documentation requirements,
.
.
.
Agenda Item No. 1602
February 9, 2010
Page 32 of 55
U.S, Dopo_ of H....lng & Urbon o.volopmont IHUD)
Ho__ P.....nUon & RJlpld Ro-Houalng Program IHPRP)
The chart be60w outtines standards and describes documentation requirements for the various types of income. In some Instances. onty
appBcant setf-d8claratlon may be possUJIe. This method should be used only 8S a lest resort when an other vertficatlon methods are not
~bIe or reasonable. When using applicant self declaration. grart8es or sponsors must doaunent why a higher vertftcatlon standard.
was not used.
~~~i ~..~. ~1lI!~~"~~ . ,i, ....
~~, ,,_,.', '-',C _.,.";p',. .. " .
. D*in copy(ln) of most rK8nIlNIY ....b(.) from appIIc8rW.
Copy of most f8Ci8t1.t paysluD(.) . Indud. copy(lu) " --...,
. IMI. fuoremall written VlII1IIcalIonollncomerequestdndlytolht
WrtttenvertrlCldtonol~. S.. elJ1)loyer(s).
HPRP VeriIIcation "'Income .,... . 0btIIIn IignMl and datMI vertficetIon of Income from 1tfI1)1oyer(').
(Ioc8ted at _ H[J[)HRE InfolHPRPIl . Indude verIIadIon of ltltomlt In lJ8ftiCiP8ntflle.
.... .') mwritlon.....;;.-.;.~.,.,;;",...........
Wag.. ..nd S11loy, Y.. . Contact Ihe empIoyer(l) by phone or in pe.... l<> ..... .nd
.... Oral verIIcation of income. ... HPRP veritk:IItionoflncorr'lt.
- crflnccmeler\'lplltt(1oc81ed . Oocunent 0111I vertllcatlon of~.
at _ HUDHREJnfolHPRP" . ,- HPRP V..wtcallon of Income In parIIdpant fie,
m.. """'.........i"'.... ,,;'J'...............c.n.............. .
. """"" IIgned and dated origlMI seIr-dec::llnllonoo Income from ..-
Sef-dfldar8t1on of income. s.. HPRP .-
Sd-Ooc::iIIndion ollncorrw tempte.. . HPRP worker must ckK:um8nt attempt to obtain third perty
(located Itwww.HUOHRE infolHPRPIl ....-.... (1MIhn or 0IlI1) .nd .... ...,-ded8l1ltlcn of income.
. Inetude self.d8d8r1UOnoflnc:ornl!l " p~fIe.
Copy of moat recent federal or state tax . Obtal'l copy at most recent fede"1II or illite tax retum from ...
...- .......' Y.. ..turn - net bullness income -
. Indude copy in participant file.
'ltcanbll.ch8IlInge IorGrwUesand~toobtlln 3'" pmyvriic8llonolMll-employm4ll'lt1nQ)me. WIWI:rpMyVtr1ficdon llnolnlllllble, 1hI: Grantel8htUd.Mys
~.n:nanz.d*-rt~lh.~.~..."ent.
)
~
.
U.s. Departmonl of H....lng & Urbon DeYeIopm.nt (HUD}
Home......... Prevention & Rapid Re-Hou8lng Program (HPRP)
Agenda Item No. 1602
February 9. 2010
Page 33 of 55
= end diYtdend y"
PHtiIonJNIII'WINr1t
.......
~DlIncome. SeeHPRP
Selr-Dea..tIon 01 Income ~..
(Ioc8ted.. __HUDHRE info.t-IPRPfI
Copy of most. ~ mer..t or dMdwld
--...
Copy of mold I1II*1tfede~ or state tax
return ahowIng InIerMt, dMdend or
other net Ineotne
Self-dedanlllon of Inawne. See HPRP
SeJJ-OecIIntIon of Income template
(located at __ HlJDHRE infoJHPRPn
y"
Copy of most l'lIOInl p&yment
statement or beMflt notiCt from Social
__(SSA),pe_
provider. orotheraource
Wrtlten V8fffIcatIon d Income. See
HPRP V8fffk:aUon of Income tef11Ilate
(located at _ HUDHRFjnfalHPRPfI
. abII*lllignec:l and dated origin8I ntJ-dect...tiOn of incornlt from
-
. HPRP worker nIUIl dEKlument dempt to obtaD third ~rty
'IINtficatIon (wrIlen or CQI) and aIgn MIf-cledaration of Income.
IndudtI....-ded8ndlon af Inc:ome n pwticIpant ftle.
Obt*l c:opy(iBs) of moat nlCllflt lnIefast or dividend Income
lIt1ItemenI.ftomapplcllnt,
lncIudeiXlPrilu)ln~rtlclp8flt1le.
ObtaIn copy of most recent f8der8I or Illata tax nmm from ltle
.po-..
Indude copy in plrtk:ipant me.
1MffilIff.
. Obt8ln signed and dUlld origin. aeIf-decl8nlllon of Inc:ome from
.-.
HPRP wortter must doamont 8hmpI: to oblllln third potty
vertncation (WItten or anti) end SVn seIf-dldllration at ineome.
. Include H1f-dec:w.tion of 111Cll)l'M in plII1It:IpHUle.
Obtaft copyflel) of mast recent benefI notice, pension stal8lTltnt or
olhw PIYI'MnIltalllment from appIiaInl
Inc.::ludeCOpy(lesj In pllltlclpanllle.
o
. Mln, fax or erMII verlllc8tlon of nc:ome requeII drecUy to the SodaI
Seautty Adn*JIIntIon, pension providerOf' other source.
0btUl signed and dated WI'II'Ication of Incam8 from lnccma SOCJrc8.
Inc:lua HPRP Verflcatlon of Income In participant lie.
.
.
.
U.S, DoporImont of Ho.olog & Urllon DovolopmonllHUDI
_... P......lIon & Ropld Ro-Ho....ng Pn>g.....IHPRPI
Agenda Item No. 1602
February 9, 2010
Page 34 of 55
~n~~.&MHP~
SeIf-DectlAlllan of Income template
(located at 'INIW HUDHRE info./HPRPI1
Unemptoyment and
disability ktcotM
Copygfmntrecent~
lHlJfIutt's compensation, SSI. SSOI, 01"
............ p.yment stItement ot
-.......
'IwrlfbJntJiiirJ
. CGflt8d the aoul'l>>(') Dy phone or In pIlr..xl to obtain ond
vertIIaIUonofhaNM.
Ooamenlond ver1Ik:Iltion oflncome.
. IndudIl HPRP VIN'IIcdan of Income in plIrtk::ipant fie.
. ObtaIn signed and daa.d oOgInaINtJ-dlIcIafalon at Income frQm
-
. HPRP wotklJr l11U8l: cioaIrmnt attempt to obtM'l third party
vennc:.uon(wrlllanororal)andlign""~gfinc:ome.
. Include seI-dlldenIUon d IlICOIl"8ln petlidpant tile.
. Dbt*I copy(Ie.) 01 moR __ payrn.tl statemont(s) and/or beneIt
noIce{s) from IIpp1c1lnt.
Indude coP1(les) In pertlclpent ftIfI.
OR
Md, r.x or emeil vertllcatlon of Income ~ dIredty to the
unemploylMnl admInlltr1llDr. WIll1te(. compensation admkllstnlklr,
or tocn. eqJIoyer.
. 0btIIn signed 100 datIld vellication of Income from Inc:ome aource.
Indude V8fIIclItIon of lnaJfIMIln partidpant f1~- ~
OR
Iiont.iiliMott>>
Cont8ct Ihe .IOUrw(s) by phone Dr In plMSOn to obtain oral
veriIIcdonofi'lCOmll.
Document onIl Y8rific:8tlon of income.
lnducle HPRP Verification of Income In participant file.
Oraf vertfk:allon of Income. See HPRP
VertfIc:ation 01 Income lempIa. (toceted
at _ HUDHRE-infolHPRPI1
Jr'iKftten~tion.OI'OteJJaR: ~uo;..c.Mot~
y"
WrlttenVBflic8tlonaflnc:ame. See
HPRP VerfIcdon of Income .".....
(Iocaled lit _ HUDHRE infDl1iPRPI1
J
"}
..
u.s. Oopor1monl 01 Honing & Urbon _010_1 (HUD)
HorneIeeen... Pnwentlon & Rapid Re-Houslng Program (HPRP)
Agenda Item No. 1602
February 9. 2010
Page 35 of 55
TANFlpubl1c
..........
Alimony, child
aupport" fos_ c.re YeI
ptymentl
Se/I'-dedanIIIon oflnoome. See HPRP
SeIf.DecIaratIon of Income template
{IocetecI at wwwHUDHRE.infolHPRPn
Copy of most I'8Clel1t wtIfare payment
statement or t.netI notlol
Written verIIcatIan of Income. S..
HPRP Ver1flcdon 01 Income ktfrl)tete
(located at WNw HUDHRE.infoIHPRPn
v..
Ond verillclltion of income. See HPRP
VerIficaIIone4lncorrwlemptata(loCIIted
at _HUDHRE.infoIHPRPn
Setktea.ation afInCOm8. 8M HPRP
SeIf-Dedaralion 01 Income l""1'IlIle
(located at WNw HtmHRF infolHPRPJl
Copy of IfKnI recent e1Imony, foster
C81'8.ditd aupportorother
contribuUona or gift payment
atetements, notice, or ordM
ObtaIn lligned Wld dated origNI Mif-declaratlon of Income from
.-
. HPRP worbr IftIIl: document llttempt to obtain tlW'd party
verIIIt8tbn (V<<tl1en orcnl) 8IId sign Sl!ItI'-d8cllII1IIIon ofinl:CfM.
. Inc::tude .....aec:l8ration of Income In p8Itk:Ip8nt..
Obtain CClII'riiel) oImD1t nteenl benent noIIte(s) orpaynwd.
8bltenwd(a) ftum appbnt.
. fndude oopy(let) n participant file.
Mil. fax or emd Ylt'lftcdon or Income request dinldIy to the-w.f8
ad"*'lanlor.
. 0btft1 signed and dated verif1calIon of Inc::Orne from ina1lT'll SOUral.
. Indude vel1llc8tion of Inc;:ome in partldpant 1l1e.
COntllCtthe source(a) by phone orin penIOn to CItJtIm 0111I
verIIIc.uonoflnconw.
DocurnenI 01111 verllclltlon of income.
Include HPRP VerII'ic8tion of lnconw in partidp8l1t file.
. Obblln aIgned and dllted original aelf-declal1lltlon of Income fI1Jm
.-
. HPRP worker ITIJst dowment attempt to obtain third party
Vltltftcation (wrltten or 01'1I1) 8nd sign seIf-declaratlon of income.
Include seI..cled81'8t1on of Income In perttclpant 1I1e.
Obtain copy(Iea) of most ntcenl. pll)'lTlllr'lf. ......nt(.). notIce(a) or
ordef(a.g. court Drderec:l c:t1Ild IUppor1}fromapp/lclnL
. Include copy(les) In Pllrtlclpant "'II.
'..QR'
.
.
.
U.S, Doportmonlol Ho..lng & Urbon Dovelopmont (HUD)
Home......... Prwentlon & Rapid fte..Houalng Program (HPRP)
Agenda Item No. 1602
February 9, 2010
Page 36 of 55
ConIlICl the SOUrce(I) by phone or In person 10 obIak1 DI1II
v.nIIcaIIanrllnoorne.
Doc:unentcnJ ~oflnc:ome.
Include I-PRP VerfiCetIon of Inco....ln participant tile.
SeI-decIanIIon of Income. See HPRP
SeI...o.a.don of IncomI~'
(bcated at _ HUDHRF InfnII-lPRPfI
~/m.f1,~o,Hi ':
. 0bIIIin IIgn.d IlOd dated orIp'llll MIf..decIar'8ti of InaJme from
-
HPRP wcn.. must tIocumeot 81templ to abblin third ~rty
vwWc:atian{wrltl8norotal) encIsIgn MIJ.decIIl'8tionoflncome.
IndudItMl-dedar8tlonoflncornelnpertlclpentlllll.
A,rnMd Fon:n 1rK0lM Yes
~of~lIbIbI.~IItatement,
or other 00W"fM*'II iMued mtement
indicating i'1come 8mOU1l
ObtaIn eapy(iaI) of most I1IC8I'I!: payment stub(1), statemenl(I), or
other liJG"i'IfI1fnI iAuecl statement fmm applcant.
Indude In In 1lIe.
~Z>'-;"f~:',i,~,/;-J. '.
Ma', fax or emllll verll'lcaUon of P::ome r.quest dr.ctIy to the
approprtate8nn8dseMce'~.
~ IIgned and d8ted vertncatIon rI ncome from Income source.
Include HPRP V.rficIdion of Income In parlicipant file.
'011. .' . ,
~1tM'canMt".
Canlad!he IOUIOI(I) by phone or in plIllIOfl to obtain 0111I
verifIc:donofnco.....
Ooc:unefi: OI'1lI...rflcaOOn of Income.
Include HPRP Vertrlcatlon of locofJllllln particlpant fie.
10
.J
>,
..
U.s. Doportment of Hauling & Urbon Dovolapmont (HUD)
Ho............ Provonllon & Rapid RHlauolng pragrom (HPRP)
Agenda Item No. 1602
February 9, 2010
Page 37 of 55
SeIf-d--.eion oIlncornll. See HPRP
SeIf..oec:tlndion of 1naNn& temptate
(Ioca'-d III wwwHUDHR:EjnfttlHPRPn
No InconM ~ N1A
8eff..decl8r8tion of Inc:ome. See HPRP
SeII'-Ded8nlftan of Income template
(bcated at __ HunHRE InfolHPRPI\
. 0bblIn algned and cIat.l ol1giNll SlIft'-dedlIRIIIon of Income from
-
. HPRP wort.,. mu8t document attempt to obteil third p.rty
vertIIc:don (WIftten or oral) and -'un ..1f-cIedaratiDn of Il'K:Omll.
Include sef-dlldandion of Inc:orM In pertldpant rue.
ObtMlligned Bnd dased origIn8I seIf-decl....on of Income frOm
.-
HPRP workef must tIocument lItt8n1Jt to obtllln third party
vertIIc8tlan (wrIlten or 0I"lI1) and sign sel-dedll,..1Ion of income.
IrIcIude sef-deQandton oIlrJcame In pertlclpant tile.
11
.
.
.
Agenda Item No. 1602
February 9, 2010
Page 38 of 55
IV. Housing Relocation and Stabilization Services
To help those who are experiencing homelessness to be quickly re-housed and stabilized,
A, Objective
1. Provide services that assist program participants with housing stability and
placement. Each program participant may receive housing relocation and
stabilization services for up to 18 months, These services are limited to the
following eligible activities:
a) Case management
b) Outreach and engagement
c) Housing search and placement
d) Legal services
e) Credit repair
C. Policies
1. Rapid Re-Housing Assistance
a) Rapid re-housing assistance is available for persons who are homeless
according to HUD's definition -listed on Exhibit A, level three. Rapid Re-
housing models include short- or medium-term rental assistance and
services.
b) Eligible households have barriers to housing, but are likely to sustain
housing after the subsidy ends.
c) Organizations providing assistance should utilize housing barrier
screening,
d) Refer to Exhibit A
e) Program participants who require longer-term housing assistance and
services should be directed to programs that can provide the requisite
services and financial assistance,
f) Legal Services related to mortgages are not eligible,
D, Requirements: Listed on the following pages,
~
U.S. Department of Housing & Urban Devolopment (HUD)
Homo"'o.", P..v.ntion & Ropid Ro-Housing prog..m (HPRP)
Agenda Item No. 1602
February 9, 2010
Page 39 of 55
1. Ropid Ro-Hou.ing Eligibility Documentation for Hornelo.. Po..on.
)
Note: ThIs omy lnctudee
Emergency Sheltllr
programs idantifled in
the Continuum d
Care', (CoC) maat
recent Houling
Inventory Chart
submitted to HUD or
otheIwiae recognized
bytheCoC 8' partd
the Coe Inventol'y (a.g.
newly estabfished
Emergency Shelters).
PI~ Not Meant for Yea
HUlnlln Hablbltlon
(..g..CIIra, ptlrkl:,
abandoned building.,
.u...t:aleldewaUls)
--
WrItten homeless certlficatlon.
See HPRP Homeless
Certification template (located
at WNW HUDHRE.infolHPRPfl.
. Obtain HMIS record Itlowtng ahelter stay concurrant wIttl HPRP
program entry data.
. Indude HMI$ I'8OOl'd In HPRP participant IIle.
. OblUl signed and dated orIgiMI Homelesa Certification from shelter
_r,
. Indude Homehtu Certification In HPRP participant file.
. Obtain letter from emergency shelter provider.
. l.etterMust:
o Be on shelter provider lettBrhe8d
o Identify shater program
o I ndude stltemant verifying current shelter occupancy of
HPRP participant, including most recent entry 8nc1 exft(1f
app4icable) dataL
o Be aigned and dated by shelter provider
. Indud. emergency AheIter providerietter ~rticlpant file.
. Obtain signed and dated original Homeless Certification from
homeless street outreach providar.
. Include HomelltU Certification In HPRP participant file.
. Obtllin letter from horn_.. str8et outreach provider. The Ielter may
be from the HPRP.functed rapid re-houslng provider If the provider
81<<1 provides outreach to pensons on the street as part of
engagemant and admission activities.
. Letter Must
o Be on oulreach provider letterhead
o Identify outreach program
o Include statement . in current homeless status of
Page40f 11
.
.
.
Setf-decllntionaf
homeIeuneu. See HPRP
Self..o.d.,.tion rI Housing
Statua_<_..
VNIW.HUOHRE.infolHPRPfl.
Yet., If 8110 meet Letter from hoaphal or other
the following two institutkln
conditions:
Hospltall or othtr
1..-
1. stay in.
hospital or other
institutionhaa
been for 180 days
or_
AND
2. was sleeping in
"".........,01
ahelterorother
p&IICII not meant
for human
hlIbltation(CllB.
-,-.
etc.) immediately
priorlD lmtry Into
the hcapltaI or
institution
Agenda Item No. 1602
February 9, 2010
Page 40 of 55
~~*;;~:" '
,;;;,:\:".~,.
HPRP participant
o S. algned and dMad by outrNCh provider
. Include ouInIach provider letter In partk:lp8r1t file.
.Oll::,'
'i_<'-;':.1
, ~tl
. Ot*in a1gned and dated ortglnal aeIf-decIaration from appUcarrt.
. HPRP worbr must document atliernpt to obtllln wrttten tI1lrd party
YIfification and sign self..dec:lal1ltion form.
. Include lIl!lIt'..dec:IamXJn In participant fila,
. Obtain letter from hoapltal at other instihrtion.
LetterMu#
o Be on hospital or other Institution Iett1Ht1ead
o Include statement verifying cummt hospltallinstitution stay fA
HPRP palticipant
o 'ndude hoapitaVanatitution admission and discharge dates
verifying that stay haa been for 180 days or less
o ee signed and dated by hoapltaUlndb.ltion representative
. Induds hoap/laUinltltutioo letter in participant fie.
(1t>_...""........~"'~I.,.:""""'~~);;
HMISreconfof .tlelterstay (If . Obtlln HMIS reoonf showing Ihett8rstay ~nantwtth HP~
previousJy sleeping in program entry data. .
smtfJ1MCY sheIter). . HMIS record must Indicate shelter stay irnmecfl8te1y prior to (i... the
day before or aame day as) hosptlalllndtution admission data.
. Indude HMIS record In HPRP participant file.
Wrltlen homeless certlftcation.
See HPRP Homeless
Certtfic:ltJon tampl_ (located
at www.HUDHRE.lnfolHPRPIl
(if previowJy sleeping in
8In8fV8lICf sheIl8r or place not
m8llnt for human habiN6on).
cOR
HAIlS terihot,~ob
Obtain signed and dated original Homeless Certificltion from shetter
provider or homeless atntet outreach provider.
CltrtIticatlon must verify homoleaaness (ntaiding in shelter or place
not mN:nt for hUlT\Sln habitation) immedi8tely prior to (I.e. the d.y
before or same day 8S) hoapltaUlnatitution admission date.
. Include Homeless Certification in HPRP participant file.
OR
psg.Sot 11
J
Agenda Item No. 1602
February 9. 2010
Page 41 of 55
)
T...naitlonal
Housing
. Not.; Tm only
indude. Tranaltlonal
Housing program.
8el'Ving homele..
PIInOOS (pw HUO',
definition) and listed
in the Continuum of
Care', (CoC) most
recent Housing
Inventory Chart
submltled b:) HUD or
otherwise rBCOgnlzed
by the cee a. part of
the COC inventory
(...'-
established
"
Yo. if gntduating
or timing out fl'Dm
Transitional
Housing program
---
p....dor _ (11 ptO""uoly
-.v"''''''"'IlMCY-
orplace not meant for human
h..Iion).
. 0bIB1n emergency ahel1lltr provider tetler.
. Letter Must:
. Be on shelter prnvIderlat*head
. Identify IIhalterprogram
. Include It:I.tement verifying ahllltllr stay ImmedlUely prior to
(I... the day befont or..me day..) hoapltalllnltitution
admission date.
. Be signed and dated by aheIler provfder
. Include documentation in HPRP participant file.
. h;;'~Wlol~~I!~~~;"~=io;'.ii;."i~~,.'
SeIf-declaration of . Obtain signed and dated origlnlll aeIf-dedaration fn:Jm applicant.
:=:'-:0 ~:~ . Self-dedaration mull verfy homeleuneaa (rulding in shelter or
statu. template (Iocatecl at place not meant for human halXtatlon) immlldlablly prior to (I.e. the
wwwHUDHRE inroIHPRPIl day before or same day as) hoBpita1/Inltitutton admission data.
(ONLY if pt8viou6Jy sleeping in . HPRP woltet must documlf'lt attempt to obtain written thifd party
","ce not meant for human verffication and sign HPRP SeIf-Oecleration form.
habitation). Include aeff-dedarlltion in particip8nt me.
Written horneIea certlficatjon.
See HPRP Horn._
Ce~ template (located
at wwwHUDHRE.infoJHPRPIl.
. Obtain signed and dated original HomeIeU Certification from
b'ansttionel housing provider.
. Indude Homeleaa CertifIcation in HPRP Pa~plInt file.
. Obtain latter from tnlndlonal housing provider.
. Letter Must:
o Be on tranaltional houalng provider letterhead.
o Identify nnsitional housing program.
o Indude statement verifying current transitiomd housing
oooupancy and of HPRP partlcipllnt
o Indude statement verifying that HPRP applicant is
graduating from or timing out of transitional housing
program.
o Indude statement verifying HPRP applicant was residing in
emergency shelter or place not meant for human habitation
Page 6 of 11
Agenda Item No. 1602
February 9, 2010
Page 42 of 55
.
'''''c.":,, ",'",'.:,
program.).
g admlUion.
o Be aigned and dated by trIInaltional housing provtder.
. Indude traMHIonaI housing pmviderletter In participant me.
00meatIc Violence
YOI, II' HPRP
aulstance it.
.-"'.....
dornenc vio6ence
.1tuatIon
SeIf-dedlll'8tionof
homeleuneu. See HPRP
SeIf-DecIaration of Housing
Statu. lampIate ~OC8tBd at
wwwHUDHRE.infoIHPRPI'l.
. OblUl atgned and dated original seIf-declandlon from applicant
. HPRP worUr must document attempt to obtain written third party
II'8f'fftcdon and sign aeIf-decIaration fonn.
. Include seIf-dedanltion in participant lie.
.
Pag.7ot11
.
Agenda Item No. 1602
February 9. 2010
Page 43 of 55
...J I V. Data Collection and Evaluation
A. Objective
To collect and analyze HPRP data.
B, Policy
HPRP client level data will be entered in Collier Continuum of Care's Homeless
Management Information system.
C. Requirements
1. Data Collection
The Recovery Act requires that data collection and reporting for HPRP be
conducted through the use of Homeless Management Information Systems
(HMIS) or a comparable client-level database,
2. Evaluation
Grantees and sub grantees must comply if asked to participate in HUD-
sponsored research and evaluation of HPRP.
)
-
Agenda Item No. 1602
February 9.2010
Page 44 of 55
. I VI. Marketing
The Hunger and Homeless Coalition will actively market the Homeless Prevention and Rapid Re-
Housing Program (HPRP), The purpose of the marketing is to raise community awareness ofthe
program's availability, direct potential candidates for the program to intake agencies for
screening and assessment and inform local service providers. The Hunger and Homeless
Coalition conducted two HPRP community workshops to introduce the program:
1, Naples 8/31/2009
2, Immokalee 9/09/209
The attached program Flyer will be distributed to nonprofit human services providers,
churches, and community groups, announcing HPRP, Program Flyers will be sent as an e-mail
attachment to all Hunger and Homeless Coalition and Continuum of Care members.
The Hunger and Homeless Coalition will work closely with the Collier County Public School
Liaison for Homeless Education. There will be ongoing meetings with school representatives
about HPRP.
.
Notice about HPRP is also posted on the website ofthe Hunger and Homeless Coalition of
Collier County,
.
~ IF YOU ARE HOMELESS OR ABOUT TO
BECOME HOMELESS, HELP IS AVAILABLE
THROUGH THE HOMELESS PREVENTION
AND RAPID RE-HOUSING PROGRAM (HPRP)
~ WHAT IS HPRP?
Funding is provided from the American Recovery and Reinvestment Act of2009 to
provide assistance to households who would otherwise become homeless and to
rapidly re-house persons who already homeless. Mortgage payment assistance is
.......... not included.
~ DO I QUALITY?
If you are at or below 50% of the Area Medium Income and if you are homeless
) or at-risk oflosing your housing you may qualify. Intake agencies will determine
eligibility.
~ WHERE DO I GO FOR MORE INFORMATION?
Intake Agencies:
Salvation Army - 775-9447 (Naples), 657-2199 (Irnmokalee)
Catholic Charities - 793-0059 (Naples), 657-6242 (Immokalee)
Financial support made available through
Collier Co, Housing & Hwnan Services
. ~~~ENTO~
.. l: 111.111 :0\ 1
~~ \~J'!!!'!~oql
Ci)
~ THIS PROGRAM IS COORDINATED BY THE HUNGER & HOMELESS COALITION OF COLLIER CO.
WWW.COlLlERHOMELESSCOALITION.ORG
Agenda Item No, 1602
February 9, 2010
Page 46 of 55
. I VII. Reporting: Performed by Collier County Housing and Human Services
A, 1015:
Grantees will use the Integrated Disbursement and Information System (IDIS) to draw
down HPRP funding and report on grant expenditures,
B. HMIS
Collier County Continuum of Care's HMIS will collect data and report on outputs and
outcomes as required by HUD, The required data elements that will be collected in
HMIS for HPRP will be included in the revised HMIS Data and Technical Standards,
C, Performance Reports
The Recovery Act requires grantees to submit quarterly reports. It also requires
grantees to have systems and internal controls in place that allow them to separately
track and report on Recovery Act Funds, Each grantee must submit the following
performance reports to HUO:
.
1. Initial Performance Report
Must cover the period between the grant agreement execution date and
September 30,2009 and which will serve as the first Quarterly Performance
Report, Grantees will provide information require by Congress and HUD in a
format to be prescribed by OMB and HUD, including but not limited to the
following items: the total amount of Recovery Act funds received from HUD; the
sub grantees and total amounts awarded to each; the amounts of HPRP funds
allocated for the four eligible HPRP activity categories (Financial Assistance,
Services, Data Collection and Evaluation, and Administrative Costs); the amount
expended for each of the above categories; the estimated number of
unduplicated individuals and families serve; and the estimated numbers of new
jobs <;reated and jobs retained, The initial Performance Report will be due on
October 10, 2009,
2, Quarterly Performance Report
.
Grantees will report on many of the same items as in the Initial Performance
Report, including HPRP funds expended by activity type, the number of
unduplicated individuals and families served, the number of new jobs created,
the number of jobs retained, challenges to effective program operation, and
other data items, Quarterly Performance Reports are due within 10 days ofthe
Agenda Item No, 1602
February 9. 2010
Page 47 of 55
J
end of each quarter for the period of program operation, and will include current
quarter and cumulative date.
3. An Annual Performance Report
Grantee will submit to HUD in a format prescribed by HUD within 60 days of the
end of each federal fiscal year, The first Annual Performance Report is due
November 30, 2010 for period ending September 30, 2010,
'}
,..
Agenda Item No. 1602
February 9, 2010
ASSESSMENT FOR HOMELESS PREVENTION AND RAPID RE-HOUSING PROGRAfftJ!l~~ft}55
.
Instructions: Complete the assessment tool using information you have obtained from your initial consultation with the householdnndividual.
Head of Household:
Last Name
Current Address:
First Name
City
Zio:
Number in Household:
Ages_ '_' _, _, _ .__ Average Monthly Household Income:
By partaking in the HPRP program client understands that there is required follow up by a case worker. Complete best contact method below:
Telephone: Home:
Cell:
Other (for messages or office):
EIIgI
bllltv Screenlna Chart
FY 2009 Income I 2 3 4 5 6 7 8
Limit Catej(ory Person Person Person Person Person Person Person Person
Very Low-50% 24,800 28,300 31,850 35,400 38,250 41,050 43,900 46,750
Income Limits
Extremely Low
(30%) Income 14,900 17,000 19,150 21,250 22,950 24,650 26,350 28,050
Limits
Please mark an X on all that aDo/v. NOTE: Documentation Proof is reauired for assistance. See Document Checklist
D Yes or D No Household is AT or BELOW 50% of the Area Median Income (AMI), Refer to chart above,
D Yes or D No Household is homeless or at.risk of losing their housing AND meets both 01 the following circumstances.
D Has not identified an appropriate housing option
D Lacks financial resources or support networks to identify Immediate housing or to remain in existing housing.
D Yes or D No Household is currently homeless and meets HUD's definition on following page in Level 3:
REFERRALS fOrHP~'C1IefttI:. " , . <.:"":("', .:"
Catholic Charities
Short Term Rental 4209 Tamiami Trail. East 239-793'()059
Assistance Naples, FL 34112 239-774'()523 Fax
Salvation Army
Short Term Rental 3180 Estey Avenue 239-775-9447
Assistance Naples, FL 34101 239-775-9732 Fax
Youth Haven
Medium/Long Term 5867 Whitaker Road 239-262'()388
Rental Assistance Naples, FL 34112-2963 239.262-1760 Fax
Housing Search & Collier County Housing Authority Rapid Re-Housing Case Manager. 239-986-1125
PlacemenU 5251 Golden Gate Parkway, Suite D
Rapid Re-Housing Naoles, FL 34116 Housing Authority: 239-732'()732
Legal Aid Legal Aid of Collier County 239.775-4555
4125 E. Tamiami Trail, Naples, FL 34112 239-775-3887 Fax
.~ Housing Development Corporation -
CreditlBudget Counseling 4779 Enterprise Avenue (239) 434-2397
Naples, FL 34104 (239) 430-2387 Fax I
Turn Page for Housing Barrier Screening to detennine referral level
Agency intake specialist has the right to deny HPRP seNices.
Agenda Item No. 1602
February 9, 2010
Page 49 of 55
DIRECTIONS: Place X in the boxes that apply to determine client barriers to housing and referral level:
LEVEL 1 - ELlGIBIUTY
Chec/r boxes that apply
Refer to Short Term Rental Asslstance
Catholic Charities or SaIvaIiOll Army
Family income below 50% AMi
No rental history
In need of budget counseling
Current or past involvement.with child
weffare, including foster care
New to the area
High overcrowding for housing unit
Large family
Does not have the following barriers:
criminal record/active CD/alcohol issues
One easily expiained eviction
Victim of domestic violence but abuser
not in the area
Sudden and significant loss of income
Sudden umity increase
Level Selected:
lJ LEVEL ONE
_Iient Signature
LEVEL 2 - ELIGIBILITY
Chec/r boxes that apply
Clients Need Med to Long Term Rent
Assi$t and Case Management: refer. Youth
H/Jven .
Extremely low income (less than 30
ereent of Area Median Income
Eviction within 2 weeks from a private
dwellin
DiScharge within 2 weeks from an
institution (prison, mental heailh,
has ital
Poor rentat history/up to two easily
explained evictions
Credit problems that preclude obtaining
housing
Open child protection case
Physical disabilities and other chronic
health issues, includin HtV/AIDS
Recent traumatic Iffe event, such as
death ri s use, or recent health crisis
Residency in housing that has been
condemned and no Ion er habitable
Minor mental health and substance
abuse issues or criminal history or past
institutional care
Eviction notice because of behavioral
rob/ems of someone Iivin with client
Homeless in last 12 months
Pending foreclosure of rental housing
Significant amount of medical debt
Severe housing cost burden (greater
than 50% of income for housing)
Case Management needed
Three or more boxes checked in Level 1.
lJ LEVEL TWO
LEVEL 3 - ELIGIBIUTY
Check boxes that/Jpp/y
Client is currently Homeless and eligible
for
RAPID RE.HOUSING
Sleeping in Emergency Shelter
Sleeping in a place not meant for human
habitation
Staying in a hospital or institution for up to
180 days, but literally homeless
immediatel rior to ent
Graduating or timing-out of transitional
housing
Victim of domestic violence
Eviction notice because of client's
behavioral roblems
Activety abusing drugs
Adutt with diagnosis of significant behavior
problems
Unqualified/Ineligible non citizen of the
U.S.
Not a resident of Collier County
Current victim of domestic violence with
the abuser still in the famil unit"
Current abuse in the family unit"
*currert abuse or domestic violence. refer directly
to Shelter for Abused Women and Ch~dren:239.n5~
1101
lJ LEVEL THREE lJ LEVEL FOUR
Cel1ffication by case manager
For referral resources for non. HPRP clients, please check the Collier County Hunger and Homeless Coalition webslte: www,colJierhomelesscoaNtion.org
Maintain One Physical Case File for each client
.
HPRP Reauired Case File Documents Check List
All recipients:
D Initial consultation and screening intake form
D Assessment form to determine eligibility signed by Case Worker
D Staff Affidavit
D Homeless Certification Form, if homeless according to HUD definition. When referred from
Shelters or Transitional Housing, include referral on letterhead in file.
D Agency financial tracking of each client: copy of checks with back up documents in file,
D Continued evaluation must be maintained and clients re-evaluated every 3months
D Data entered into HMIS
.
Financial assistance documentation:
D Proof of SO% AMI from client - see table on reverse side of page for types of income that must
be counted when calculating gross income, Use self.declaration of income form as last resort,
D Verification of Income form
D Personal identification
D Request for Financial Assistance check list
D Past due rent and/or utility notices
D Existing lease agreement
D Eviction notice or proof of foreclosure of home
D landlord Form
D Homeless Prevention Eligibility Documentation: See attached tables, Use Self-Declaration of
Housing Status as last resort,
D Rapid Re-housing Eligibility Documentation: See attached tables, Use Self-Declaration of
Housing Status as lost resort,
For new leases, change of tenancy and arrears payment:
D New rental lease or utility agreement in client's name
o Rent reasonableness worksheet. Rent and utilities cannot be combined in the "reasonabieness"
worksheet
D Habitability Inspection if the client is moving to a new home and every 12 months if household
continues to receive assistance,
o lead-based Paint Inspection if the home is pre-1978 and there is a child less than 6,
Client reauirements: All recipients of short term financial assistance are required to attend HDC
budgeting class, Client will receive a follow up call from YH Case Worker,
Other reauirements: Re-evaluate and document eligibility for financial assistance very three months. HPRP funds must be issued to a third
party (e.g., landlord or utility company), NOT directly to program participants. Rent assistance only NO mortgage payments. An assisted
property may not be owned by the grantee, sub grantee or the parent, subsidiary or affiliated organization of the sub grantee. Lead-Based Paint
Reauirements: all housing in which families assisted with HPRP funds will reside, whether they are assisted with prevention or rapid re-
housing. Unit constructed before 1978 in which a child under the age of 6 will be residing.
.
Administered by the Hunger and Homeless Coalition of CoWer County
www.collierhomelesscoalltion.org
Agenda Item No. 1602
_ Fe~~~~010
Homelessness Prevention and Rapid Re-Housing Program (HPRP) !'~mI1l10'5
- STAFF AFFIDAVIT ~~ i *11111111" t
J ,_~
Instructions: This Staff Affidavit serves as documentation that the HPRP household named below meets all
eligibility criteria for HPRP assistance, certifies that true and complete information was used to determine
eligibility, and certifies that no conflict of interest exists related to the provision of HPRP assistance, Each staff
person determining HPRP eligibility for a household must complete this Staff Affidavit for every household,
once the household is determined eligible for HPRP assistance, The completed Staff Affidavit remains valid
until or unless a different staff person re-determines HPRP eligibility. HPRP Staff Affidavits must be signed and
dated by HPRP staff and supervisors for each household approved for HPRP assistance on or after November
1, 2009 and kept in the participant case file,
I Head of Household Name:
Names of Household Members:
-
1
Each person signing below certifies that the person/household named above meets all requirements to
receive assistance under the Homelessness Prevention and Rapid Re-Housing Program (HPRP) and that all of
the information provided above is true and complete, to the best of my knowledge. I further certify that the
provision of HPRP assistance to the person(s)/household named above has not resulted, nor will result, in a
personal or financial interest or benefit, either for myself or for anyone with whom I have family or business
ties. Fraud is investigated by the Department of Housing and Urban Development, Office of Inspector
General, and may be punished under Federal laws to include, but not limited to, 18 U,S.c. 1001 and 18 U,S.c.
641. I am aware that if either of these certifications is found to be false, I will be subject to criminal, civil and
administrative penalties and sanctions,
HPRP Staff Signature:
Date:
HPRP Supervisor Signature:
Date:
"
HPRP Applicant Name:
Agenda Item No. 1602
February 9, 2010
e Pa~~~~~of 55
- !:~IIIIIII:\
~~ \)1111111 j
'ti.e......'t~
Homeless Prevention and Rapid Re-Housing Program (HPRP)
.VERIFICATION OF INCOME
Instructions for Employer/Payment Source Representative: This is to certify the income received by the above named
individual for purposes of participating in the HPRP program. This information will be used only to determine the
eligibility status and level of benefit of the household. Complete only the selected section below that includes an
authorization to release information.
Please return this form to:
Name & Title:
Address:
Email:
Phone:
Fax:
D Employment Income
HPRP Applicant Release: I hereby authorize the release of the following employment information.
HPRP Applicant Signature: Date:
Employer representative to complete this section:
The person named above is employed by
.is paid $ on a
since
basis and is currently working an average of
. He/she
hours per
Additional compensation please specify (if any):
Probability of continued employment:
Authorized Employer Representative Signature:
Name, Title:
Address and Phone:
Date:
D Payments and/or Benefit Income (complete one form for each distinct source of income for person named above)
CIRCLE ONE:
SocialSecurity/SSI
Public Assistance
Alimony Payments
Armed Forces Income
Other (pis, specify):
Pension/Retirement
Unemployment Compensation
Foster Care Payments
TANF
Workers Compensation
Child Support Payments
HPRP Applicant Release: I hereby authorize the release of the following payment and/or benefit information.
HPRP Applicant Signature: Date:
Payment source representative to complete this section:
.-payments or benefits in the amount of $
~xpected duration of the payments or benefits is
are paid on a
basis, The
Authorized Payment Source Representative Signature:
Name, Title:
Address and Phone:
Date:
Homeless Prevention and Rapid Re-Housing Program (HPRP)
-jHOMELESS CERTIFICATION
HPRP Applicant Name:
Agenda Item No, 1602
February 9.2010
Page 53 of 55
,. [~Iii;ih\
~ \~ IIIIIIIV
~.4..ltC4;...'t
o Household without dependent children (complete one form for each adult in the household)
o Household with dependent children (complete one form for household)
Number of persons in the household:
This is to certify that the above named individual or household is currently homeless based on the check mark, other
Indicated information, and signature indicating their current living situation.
Check only one box and complete only that section
Living Situation: place not meant for human habitation (e.g., cars, parks, abandoned buildings, streets/sidewalks)
o The person(s) named above is/are currently liVing in (or, if currently in hospital or other institution, was living in immediately
prior to hospital/institution admission) a public or private place not designed for, or ordinarily used as a regular sleeping
accommodation for human beings, including a car, park, abandoned building, bus station, airport, or camp ground,
Description of current living situation:
Homeless Street Outreach Program Name:
This certifying agency must be recognized by the local Continuum of Care (CoC) as an agency that has 0 program designed to serve
persons living on the street or other places not meant for human habitation, Examples may be street outreach workers, day shelters,
soup kitchens, Health Care for the Homeless sites, etc,
~Authorized Agency Representative Signature:
Date:
Living Situation: Emergency Shelter
o The person(s) named above is/are currently living in (or, if currently in hospital or other institution, was living in immediately
prior to hospital/institution admission) a supervised publicly or privately operated shelter as follows:
Emergency Shelter Program Name:
This emergency shelter must appear on the CoC's Housing Inventory Chart submitted as port of the most recent CoC Homeless
Assistance application to HUD or otherwise be recognized by the CoC os port of the CoC inventory (e.g. newly established Emergency
Shelter),
Authorized Agency Representative Signature:
Date:
Living Situation: Transitional Housing
o The person(s) named above Is/are currently living in a transitional housing program for persons who are homeless, The
persons(s) named above is/are graduating from or timing out of the transitional housing program:
Transitional Housing Program Name:
This transitional housing program must appear on the CoC's Housing Inventory Chart submitted os part of the most recent CoC
Homeless Assistance application to HUD or otherwise be recognized by the CoC as part af the CoC inventory (e,g, newly established
.TranSitiOnOI Housing progrom).
~mmediately prior to entering transitional housing the person(s) named above was/were residing in:
o emergency shelter OR 0 a place unfit for human habitation
Authorized Agency Representative Signature:
Date:
Homeless Prevention and Rapid Re-Housing Program (HPRP)
esELF-DECLARATION OF HOUSING STATUS
Agenda Item No. 1602
February 9. 2010
Page 54 of 55
- f:~liiilh:\
~ \~~~~~~V
HPRP Applicant Name:
o Household without dependent children (complete one form for each adult in the household)
o Household with dependent children (complete one form for household)
Number of persons in the household:
This is to certify that the above named individual or household is currently homeless or at-risk of homelessness, based
on the following and other indicated information and the signed declaration by the applicant.
Check only one:
D I [and my children] am/are currently homeless and living on the street (i.e, a car, park, abandoned
building, bus station, airport, or camp ground).
D I [and my children] am/are the victim(s) of domestic violence and am/are fleeing from abuse.
D I [and my children] am/are being evicted from the housing we are presently staying in and must leave this
Wousing within the next _ days.
I certify that the information above and any other information I have provided in applying for HPRP
assistance is true, accurate and complete.
HPRP Applicant Signature:
Date:
HPRP Staff Certification
I understand that third-party verification is the preferred method of certifying homelessness or risk for
homelessness for an individual who is applying for HPRP assistance. I understand self declaration is only
permitted when I have attempted to but cannot obtain third party verification.
Documentation of attempt mode for third-party verification:
HPRP Staff Signature:
Oate:
.
HPRP Applicant Name:
Agenda Item No, 1602
February 9. 2010
e P=,~~"~~Of 55
_ l,II.111 ~\
~~ i~IIII1IIV
~c-a....'t
- Homeless Prevention and Rapid Re-Housing Program (HPRP)
JELF-DECLARATION OF INCOME
This is to certify the income status for the above named individual. Income includes but is not limited to:
· The full amount of gross income earned before taxes and deductions.
. The net income earned from the operation of a business, i.e" total revenue minus business operating expenses,
This also includes any withdrawals of cash from the business or profession for your personal use.
. Monthly interest and dividend income credited to an applicant's bank account and available for use.
· The monthly payment amount received from Social Security, annuities, retirement funds, pensions, disability and
other similar types of periodic payments.
. Any monthly payments in lieu of earnings, such as unemployment, disability compensation, 551, 5501, and worker's
compensation.
· Monthly income from government agencies excluding amounts designated for shelter, and utilities, WIC, food
stamps, and childcare.
. Alimony, child support and foster care payments received from organizations or from persons not residing in the
dwelling,
· All basic pay, special day and allowances of a member of the Armed Forces excluding special pay for exposure to
hostile fire.
Check only one box and complete only that section
D I certify, under penalty of perjury, that I currently receive the following income:
Source:
Source:
Source:
Amount:
Amount:
Amount:
Frequency:
Frequency:
Frequency:
HPRP Applicant Signature:
Date:
o I certify, under penalty of perjury, that I do not have any income from any source at this time.
HPRP Applicant Signature:
Date:
HPRP Staff Verification
I understand that third-party verification is the preferred method of certifying income for HPRP assistance.
understand self declaration is only permitted when I have attempted to but cannot obtain third party
verification,
Documentation of attempt made for third-party verification:
...
HPRP Staff Signature:
Date: