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It includes date needed, delivery method for checks, total amount requested, check payee details, and a line-item list of assistance types with amounts.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},279470,1790124235,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":22},687207020761,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","HMIS ID\\#:    \nParticipant Name (HoH) :    \nParticipant Address (where they are moving to) :    \nCity:   State:   Zip:    \nCase Manager/Agency:   Contact phone number:    \nStaff Summary of Assistance  \nPlease briefly explain the housing solution (and financial need, if applicable) and communication that has taken place with all parties to confirm the housing option.  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n\nRUSH: FINANCIAL ASSISTANCE REQUEST  \nCOMPLETE NEXT SECTION ONLY WHEN A HOUSEHOLD NEEDS FINANCIAL ASSISTANCE TO EXIT TO HOUSING  \nDate Needed:    \n􀀀 Mail 􀀀 Hold for pickup @ 1156 N. 4th Street by:    \nTotal Amount Requested: $   \nCheck Payable to:   Address of check recipient:    \nCity:   State:   Zip:    \nPhone \\#:    \n\n| TYPE OF ASSISTANCE | AMOUNT OF ASSISTANCE |\n| --- | --- |\n| 􀀀 Child Care Assistance: | $ |\n| 􀀀 Education or Employment Supplies: | $ |\n| 􀀀 Legal Fees/IDs/Background Checks: | $ |\n| 􀀀 Moving Costs: | $ |\n| 􀀀 Pet Related Costs: | $ |\n| 􀀀 Rental Assistance: | $ |\n| 􀀀 Security Deposit: | $ |\n| 􀀀 Transportation Assistance: | $ |\n| 􀀀 Utility Assistance: | $ |\n| 􀀀 Other Financial Assistance (please specify) : | $ |\n\nNote: All requests for “Other” types must be directly connected to a safe housing option outside of the homeless response system  \nSignature of Staff Making Request:   Date:    \nSignature of JDOC Manager:   Date:    \nDocumentation attached to this request:  \n􀀀 Participant Acknowledgement (required)  \n􀀀 W-9 (required)  \n􀀀 Intent to Rent Letter  \n􀀀 Written confirmation from person receiving funds (example might be an email from the aunt a household is going to move in with, stating she agrees to let the household move in)  \n􀀀 Screenshot of Anticipated Expense (please specify; example may be a screenshot of household’s preferred bus ticket)  \n__________________________________________________________________________________________________  \n􀀀 Other (specify)    \n__________________________________________________________________________________________________  \nABODE SIGNATURES ONLY  \nSignature of Abode Supervisor Authorizing:   Date:   Abode Services Administration Approval:   Date:","cbCaikLXkm25Uv8d","https://ap.wps.com/l/cbCaikLXkm25Uv8d","pdf",117664,"English","# Participant Information\n# Staff Summary of Assistance\n# Rush: Financial Assistance Request\n## Financial Details and Assistance Types\n## Documentation Attached\n# Signatures and Approvals","[{\"question\":\"What participant details are collected on the HMIS participant check request?\",\"answer\":\"The form collects the HMIS ID, participant name, participant address moving to (city, state, zip), and the case manager/agency contact phone number.\"},{\"question\":\"What does the staff summary section require?\",\"answer\":\"It asks staff to briefly explain the housing solution, the applicable financial need, and the communication with all parties used to confirm the housing option.\"},{\"question\":\"When is the “Rush: Financial Assistance Request” section used and what fields does it include?\",\"answer\":\"It is used when a household needs financial assistance to exit to housing. It includes date needed, delivery method for checks, total amount requested, check payee details, and a line-item list of assistance types with amounts.\"}]","HMIS Participant Check - Participant Check Request - Financial Assistance Rush | PDF",1789521351]