Provider Forms & Guidance | licoc

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2021 Participation Form

Nassau/SuffolkContinuum of Care (NY-603) Homeless Response Network

We Envision a Community Where Everyone Has a Place to Call Home

Provider Forms & Guidance for Coordinated Entry

Virtual CES Referral Link

(Households in Shelter)

Street Outreach Dedicated Phone

631-464-4314 x118

(Households Living on Street)

Vacancy Notification Form

Provider Acceptance Form

Provider Decline Form

Client Decline Form

Rental Request Form

PSH Intake Training

Access Point Handout for Clients

RRH Case Review for Financial Extension Form

CES Transfer Policy

CES Transfer Policy - EHV

DV RRH Guidance

Broad Spectrum RRH Guidance

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