Tri-County CAP Housing WIN!

(FORMS BELOW)

Yes folks! that's right! we have a WIN! - Tri-County CAP will be administering a portion of the American Recovery and Reinvestment Act of 2009  (stimulus money) for some of those experiencing homelessness or precariously housed in New Hampshire's North Country.

Anyone from any agency, shelter or hospital can complete the REFERRAL sheet below and email it to HOUSING WIN! or fax it to the office (443.6151) for review and assignment. If you have questions please call 443.6150.


 TRACK A
 TRACK B
 TRACK C

 Provide assistance to rapidly re-house those who have been discharged into homelessness from:

  • Drug/Alcohol Treatment
  • Hospitals
  • Penal system

*so long as the stay was UNDER 180 days

Assist participants in On the Job Training Programs in maintaining stable housing. Those who qualify for funds through track B are enrolled in;

• Workplace Success Programs
• Other program that meets similar goals

Secure housing for persons living in Shelters (Homeless or Domestic Violence)

The following MAY be available to those who meet the criteria in the above tracks:

• rental assistance,
• security deposits,
• utility deposits,
• utility payments,
• storage unit cost,
• motel or hotel vouchers MAX 28 days (if a unit has been secured, but is not ready),
• rental arrears if participant is still in home,
• case management,
• landlord mediation

NOTE* Not all households will qualify for all assistance. It is done case by case by need. In ALL cases, household MUST EXHAUST ALL OTHER RESOURCES.

______________________________________________________________________________________

IMPORTANT FORMS YOU AND/OR YOUR CLIENT WILL NEED 

STEP 1- ***NEW RULES AS OF 7/1/10***PLEASE READ the rules carefully to determine if your client is a candidate for Housing WIN!

STEP 2 - ***NEW REFERRAL SHEET***  All Referral Sheets must be accompanied by a letter ON LETTERHEAD and SIGNED by the referring agency attesting to the homelessness or imminent homelessness of the household being referred for assistance. 

PLEASE TYPE ALL INFORMATION. HANDWRITTEN REFERRALS CANNOT BE ACCEPTED.

Complete the referral form and email to tccaphousingwin@gmail.com or fax to 443-6151

STEP 3 - COMPLETE the following WITH your assigned Outreach Worker.

State Intake

Tri-County CAP Intake Forms

Observation Form


STEP 4 - Your Outreach Worker will conduct 1, 3 & 6 month FOLLOW UP VISITS! (more if needed!)

Other Documents

Follow Up Form

W-9

Tri-County CAP's Release of Information

Landlord-Tenant-Case Manager Agreement

Landlord Benefits List

Lead Based Paint Brochure

Exit Form