Host Homes Annual Report Form

Completion of this form meets Washington state law (RCW 74.15.020) requiring host home programs to report their activities and outcomes to the Office of Homeless Youth Prevention & Protection (OHY) annually by December 1st of each year.

Host Home Programs Overview

Host home programs provide support to individual host homes, private homes that volunteer to host youth (under age 18) in need of temporary housing who are not in the care or receiving services from the Department of Children, Youth & Families (DCYF).


Host home programs must be tax exempt organizations and meet the following requirements, see RCW 74.15.020 for complete details:


  • Recruit and screen potential host homes, including performing background checks on household members over the age of 18 and physical inspections of the home
  • Screen and provide case management services to youth in the program.
  • Obtain a notarized permission slip or limited power of attorney from youth's parent or legal guardian every six months, unless there is a compelling reason not to
  • Obtain insurance for the program through an insurance provider authorized under Title 48 RCW
  • Provide mandatory reporter and confidentiality training
  • Register with the secretary of state under RCW 74.15.315


If serving youth who are seeking or receiving protected healthcare services, case management must occur outside the host home and away from household members at least once per month. DCYF notification may also replace parent or legal guardian permission, see RCW 13.32A.082 for notification requirements when providing shelter to minors.


Host Home Resources

For more information on operating host home programs, see Washington Host Home Coalition Best Practices (2019) and Point Source Youth Host Homes Handbook (2024). Please note that regulations may have changed over time or differ in other states.



Please select the two statements that apply to your host home program:

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REQUIRED

Host home programs are required by law to register with the Secretary of State per RCW 74.15.315.


See Instructions: Host Home Registration (pdf) for more information on registering your program.


Please also continue completing this survey even if you have not registered yet.

Reporting Not Required

Your program is not required to complete this form because you indicated that it DOES NOT serve youth under age 18 or DOES NOT receive local, state or government funds.


We appreciate any information you would like to share about your program so we can continue help connect youth with needed resources in their community throughout our work.

Host Home Program Activities and Outcomes

The reporting period follows the state fiscal year, July 1st - June 30th. Please select the time period applicable to this submission and respond to the following questions for this date range only.

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Please list each reason and separate with commas

Please list each reason and separate with commas

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Please share any information you would like OHY to know about your program or experience with operating host homes. (e.g. accomplishments, themes, challenges, barriers, gaps in support, etc.)

Your contact information

Please share the best contact information for us to follow up with if there are any questions about your submission.

Questions?

Contact us for assistance needed completing this form YouthHomeless@commerce.wa.gov

Thank you!

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