Transfer Requests

A transfer request may be submitted only for households who were determined and documented as chronically homeless at the time of enrollment into their current program. All transfers are dependent upon availability in PSH programs. Simply submitting a transfer request is not a guarantee that the transfer request will be approved.

Once submission of this request is completed, the transfer committee will meet the following Monday at 4 PM. It is required that the staff submitting this request is present at the transfer meeting to answer all questions the transfer committee has. Please join here: https://us02web.zoom.us/j/84387188610?pwd=bWZ0SkRTS0I0SjBSLzQ2TlljbE1KQT09

Head of Household Name

Client HMIS or DV #

Agency Requesting Transfer

Current Program Name

Date participant entered your program

Current Housing Situation

ex: place not meant for human habitation, emergency shelter, rental housing, hotel, or other.

Has a lease been signed?

Will this transfer require a move?

Unit Size

Number of Adults

Number of Minor Children

Does the participant meet the definition of chronically homeless?

https://files.hudexchange.info/resources/documents/Flowchart-of-HUDs-Definition-of-Chronic-Homelessness.pdf

Does the participant have income?

What is the reason for this transfer request? (select all that apply)

What program type will the participant be transferring from?

Have you discussed alternatives to transfer at the Housing Solutions meeting?

What interventions and steps have you taken to prevent the transfer? (note: dates must be included. Supporting documentation may be requested by the transfer committee.)

Has a transfer request for this household been made previously?

Has this household previously been transferred to/from another program?

Please provide a brief narrative describing the reason/justification supporting this transfer:

Program Contact Person

Program Contact's Email

Please list the staff member(s) who will be attending the transfer meeting in regards to this transfer request:

Reminder: The transfer meeting will be held the Monday following submission of your transfer request at 4 PM. Please join here: https://us02web.zoom.us/j/84387188610?pwd=bWZ0SkRTS0I0SjBSLzQ2TlljbE1KQT09

Failure to be present will result is your transfer request not being discussed by the transfer committee.

File Upload

For transfer to be considered, all of the following must be attached here: proof of chronicity, IDs, social security cards, verification of disability.

Drop your files here

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