Archive for the ‘ESHAP Program Documents’ Category

Program Documents

January 10, 2017 Comments off

Stability Through Engagement Program (STEP)

January 10, 2017 Comments off

Vulnerability Index & Service Prioritization Assistance Tool (VI-SPDAT)

December 31, 2015 Comments off

Youth VI-SPDAT  TAY-VI-SPDAT v1.0 US (Fillable)

Family VI-SPDAT Fillable Form  VIS 2 Family Fill

Family VI-SPDAT Printable Form  VIS 2 Family Print (1)

Single VI-SPDAT Fillable Form  VIS 2 Single Fill

Single VI-SPDAT Printable Form  VIS 2 Single Print (2)

HMIS Data Entry Forms

December 28, 2015 Comments off

Home To Stay HCV Application Documents Updated 1/2016

August 1, 2014 Comments off

The various forms needed to complete an application for the Home To Stay HCV. These are program specific to ‘Home To Stay HCV’. Staff and providers involved with Home To Stay HCV have had training on the forms and their use.

Home To Stay Checklist 2016 (Updated 1/14/2016)

HUD What you should Know about EIV – with signature block Feb 2010 Updated version 8/1/2014

Form- Verification Zero Income Certification Updated version 8/1/2014

Form – Consent to Screen for Criminal Activity 8.5 x 11-3 Updated version 9/24/2015

Form – DECLARATION OF SECTION 214 STATUS Updated version 8/1/2014

Form – General Authorization of Release ME RELAY Updated Version 8/1/2014

Form – HIPAA Release for MaineHousing 9-17-14  Updated version 9/24/2015

HUD 9886 Authrz to Release Information 1-31-14with MH address Updated Version 8/1/2014

HUD 52675 Debts Owed to PHA and Termination 4-30-13 Updated version 8/1/2014

HUD 92006 Supplement to Application Updated version 8/1/2014

Form- DV Lease Addendum New Form 8/1/2014

Form – Verification of Employment ME RELAY New Form 8/1/2014

Form – Verification of Disability Status ME RELAY  New Form 8/1/2014

2016 Application Personal Declaration  (New 5/11/2016)


Documents for navigators under the HCV Home to Stay program

Navigator Role for HCV

Navigator Flow Chart


Income Description


Bedroom Allocation Cohead Other Adult








2016 Application Personal Declaration