Common Contracts
1 similar Service & Participant Agreement contracts
ACCEPTED HMIS Referral Region 16 CSBG Service & Participant Agreement -Provide copy to participant Life Skills Assessment Housing History Assessment Housing Search Case Plan -Provide copy to participant Services Tracking Confidentiality Agreement HMIS...Service & Participant Agreement • June 29th, 2021
Gender: □ Female □ Male □ Other Household Size: Military Status: Is Participant a U.S. Citizen? Disability: □ Yes □ No □ Veteran □ Yes □ Physical □ HIV/AIDS □ Active Military □ No □ Developmental □ SUD □ Chronic Health □ Mental Health
