Housing
Matters
Links to County Forms and Documents:
GRH Specific Forms for Eligibility
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Professional Statement of Need (PSN) Updated Annually
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https://edocs.dhs.state.mn.us/lfserver/Public/DHS-7122-ENG
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Long Term Homeless Verification (LTH)
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Habitability Inspection Form
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Shelter Verification Form (SVF)
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Interim Assistance Agreement Form (IAA) Updated annually (2 forms; SSI and Non SSI)
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SSI version: https://edocs.dhs.state.mn.us/lfserver/Public/DHS-1795-ENG
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Non SSI version: https://edocs.dhs.state.mn.us/lfserver/Public/DHS-1795A-ENG
Commonly Used Forms
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Household Report Form https://edocs.dhs.state.mn.us/lfserver/Public/DHS-2120-ENG
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Change Report Form https://edocs.dhs.state.mn.us/lfserver/Public/DHS-2402-ENG
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Employment Verification Form https://edocs.dhs.state.mn.us/lfserver/Public/DHS-2146-ENG
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CAF (Combined Application Form) https://edocs.dhs.state.mn.us/lfserver/Public/DHS-5223-ENG
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Combined Six-Month Report Form https://edocs.dhs.state.mn.us/lfserver/Public/DHS-5576-ENG
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Voluntary Vendor Form https://edocs.dhs.state.mn.us/lfserver/Public/DHS-2984-ENG
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