The following PSH forms have been approved by the West TN CoC Board and HUD Knoxville Field office for use:
Form No. Form Name
4 | Homelessness Certification |
5 | Chronically Homeless Qualification Checklist and Timeline |
6 | Debilitating Condition Verification |
Agency | Example--Statement of Understanding and Agreement |
Agency | Example--Termination and Grievance Policy |
Agency | Lead Based Paint and Fair Housing Pamphlets |
7 | Housing Quality Inspection SEE APPENDIX --B |
8 | Inspection Deficiencies Notice (if applicable) |
9 | Limited Scope Environmental Review SEE APPENDIIX --C |
10 | Rent Reasonable Verification |
11-13 | Lead Based Owner Certification, Disclosure of Information, Risk Assessment |
Agency | Example--Lease and Lease Addendum |
14 |