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Homeless Services Agency Contact Form Sample

Coalition for the Homeless of Houston/Harris County

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This form was created by the Coalition for the Homeless of Houston/Harris County to collect relevant and necessary information from homeless service agencies in the City of Houston. Key elements include contact info, populations served, services provided, participation in the state client registry and participation in other relevant programs. Localities can use this as an example for creating similar contact forms for their homeless populations.

 

Coalition for the Homeless of Houston/Harris County: Homeless Services Agency Contact Form (PDF)

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