Fillable Homeless Voucher Nomination Form (Page 4 of 4) in pdf

Homeless Voucher Nomination Form Page 4

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KEY POINTS FOR AGENCIES ON THE NOMINATION PROCESS

 Nominations must be received by SHA by the last working day of the month preceding the

drawing. Drawings will take place during the first week of every month; notification letters

will be mailed within 5 working days of the drawing.

 One nomination per family per month will be accepted; Please ask clients if they have been

nominated by other agencies, if so please do not fill out another nomination form as it will be

thrown out.

 Nomination forms should be completed by the case manager together with the client for full,

accurate information.

 It is important that the client meets all eligibility criteria. Once a name is drawn, if the client

fails to meet the eligibility criteria SHA DOES NOT DRAW A REPLACEMENT NAME.

 By submitting a nomination, the agency agrees to provide assistance the client may require

to successfully complete the process (e.g. appointment reminders, help obtaining

verifications, etc.).

 Drawing results, eligibility packets, and appointment letters will be mailed to the nominating

case manager; once you have received correspondence from SHA, please be sure to contact

your client.

 Nominations not drawn may be resubmitted the next month, providing that

o You are still working with the nominee; and

o You write your name and date submitted on the top of the nomination form.

 Employees of Salem Housing Authority may not submit nominations as it may be considered

a conflict of interest.

 If you are not sure if a client meets the criteria as set forth, please contact Phil S Dean,

Section 8 Manager at

pdean@cityofsalem.net

I have read and agree with the nomination criteria and certify that to the best of my

knowledge the nominee meets these criteria.

Name: __________________________________________________

Signature: _______________________________________________

Homeless Voucher Nomination Form Page 4

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