Provider Tools: Forms

Housing Forms

Shelter Plus Care – City of Los Angeles
Contact: Charles Pace (213) 251-6566.
Program Description
Policies and Procedures
Homelessness Eligibility and Documentation Guide
Tenant Income Limits
Certificate Program
Shelter Plus Care Application Package
Instructions to Complete Certification of Residence in a Homeless Facility
Sample Format for Manager Application Cover Letter
Data Form (under construction)
City of Los Angeles Neighborhoods

Shelter Plus Care – Unincorporated Cities in Los Angeles County
Contact: Dr. Sylvia Braswell (213) 251-6558
Program Description
Policies and Procedures
Homelessness Eligibility and Documentation Guide
Tenant Income Limits
Monthly Report
Quarterly Report
Zip Codes for Unincorporated Areas

Rental Assistance & Eviction Prevention
Contact: Jose Cortez (213) 251-6568
Program Description
Policies and Procedures
Move-In Rental Assistance Application Form
Move-In Rental Assistance Application Form Checklist
Eviction Prevention Application Form
Eviction Prevention Application Form Checklist
W 9 RENTAL Assistance Form

Household Assistance
Contact: Mike Cazares (213) 639-2505
Program Description
Procedures
Household Assistance Request Form
Sample Letter to Accompany Request Form

Specialized Shelter Beds
Contact: Daisy Obetsanov (213) 251-6564
Program Policies and Procedures
Application Form
List of Gatekeepers
Facility Billing Statement

Links to Other Housing Resources
Transitional Age Youth Referral Guide
Community Care Licensing
Rainbow Resource Directory
Los Angeles Homeless Services Authority (LAHSA) - Overnight Emergency Shelter Program
Los Angeles Coalition To End Poverty and Homelessness: People’s Guide
Los Angeles County Office of Education: Referral Guide for Homeless Children, Youth and Families
Los Angeles City Housing Department - Fair Housing
Los Angeles County Department of Health Services - Report a Problem
LAHSA Year Round Shelter Program