AGENCY USE ONLY CASE NAME CASE NUMBER LOCALITY SCREENER DATE EXPEDITED SERVICE DETERMINATION Income < $150 + resources ≤ $100 YES NO Income + resources < shelter bills YES NO For migrant or seasonal farm workers: Resources and $25 is expected in next 10 days from new income; ≤ $100 ≤ YES NO OR Resources $100 and $0 income is expected from a terminated source for the ≤ rest of this month or next month. YES NO EXPEDITE IF YES TO ANY OF THE ABOVE. iv
AGENCY USE ONLY CASE NAME CASE NUMBER LOCALITY SCREENER DATE EXPEDITED SERVICE DETERMINATION Income < $150 + resources ≤ $100 YES NO Income + resources < shelter bills YES NO For migrant or seasonal farm workers: Resources ≤ $100 and ≤ $25 is expected in next 10 days from new income; YES NO OR Resources ≤ $100 and $0 income is expected from a terminated source for the rest of this month or next month. YES NO EXPEDITE IF YES TO ANY OF THE ABOVE. iv
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