HOMELESSNESS PREVENTION/ RAPID RE-HOUSING - Eligibility Checklist Select the situation(s) that caused you to need assistance. All hardships must be documented and verified.     Loss of income/job Natural Disaster/Fire Car Repair Funeral Expenses     Medical Expenses Displacement by Gov. Condemnation Foreclosure    Release from institution Loss of hours at work Other Applicable __________________________________  Homeless Describe Current Crisis/Need for Assistance/Housing Situation: Is the household unable to identify appropriate subsequent housing options; AND do they lack the financial resources and support networks needed to obtain immediate housing or remain in existing housing? Is the household unable to relocate with another family member or friends? Does the household lack sufficient savings or other assets that can be used to pay rent, arrearages and other housing costs? (Must provide statements for any bank accounts) If No, Total savings/assets: Eligibility Criteria by ESG ESG Rapid READE IDHS Program Type Prevention Re-housing Prevention Prevention Housing Status at Homeless at Risk of becoming in suburban Cook Risk of becoming homeless County 2 weeks or homeless more Current or Last suburban suburban Cook South region Illinois Permanent Address Cook County for County within last six of suburban Cook at least 1 month months County Income no income restriction 30% AMI at initial intake - sufficient to Below 30% AMI at cover rent redetermination only Evidence of Hardship Required Required Required No Alternative Housing Required Required Required Options Can Case Manager Required Vouch Client Has Good Moral Character Proof that client has Required worked in State of Illinois
HOMELESSNESS PREVENTION/ RAPID RE-HOUSING - Eligibility Checklist Select the situation(s) that caused you to need assistance. All hardships must be documented and verified.  Loss of income/job  Natural Disaster/Fire  Car Repair  Funeral Expenses  Medical Expenses  Displacement by Gov.  Condemnation  Foreclosure  Release from institution  Loss of hours at work  Other Applicable __________________________________  Homeless Describe Current Crisis/Need for Assistance/Housing Situation: Is the household unable to identify appropriate subsequent housing options; AND do they lack the financial resources and support networks needed to obtain immediate housing or remain in existing housing? Is the household unable to relocate with another family member or friends? Does the household lack sufficient savings or other assets that can be used to pay rent, arrearages and other housing costs? (Must provide statements for any bank accounts) If No, Total savings/assets: Eligibility Criteria by Program Type ESG Prevention ESG Rapid Re-housing READE Prevention IDHS Prevention Housing Status at Risk of becoming homeless Homeless in suburban Cook County 2 weeks or more at Risk of becoming homeless Current or Last Permanent Address suburban Cook County for at least 1 month suburban Cook County within last six months South region of suburban Cook County Illinois Income 30% AMI no income restriction at initial intake - Below 30% AMI at redetermination only sufficient to cover rent Evidence of Hardship Required Required Required No Alternative Housing Options Required Required Required Can Case Manager Vouch Client Has Good Moral Character Required Proof that client has worked in State of Illinois Required
SubCook_Initial_Intake_Assessment.docx