HVRP Customizable Forms

This section includes a variety of forms that could be used to document HVRP practices. The presentation of these forms does not mean NVTAC or DOL/VETS endorses any particular form as required or as an approved form. These forms were collected from service providers and are only intended to help program planners develop forms and tools that will serve the needs of their program.

The forms in this section are samples for your perusal and information. If program planners would like to use or modify any of these forms for their use, we encourage you to do so.

Intake

• HVRP Eligibility – Updated November 2024
• Self-Attestation 1
• Self-Attestation 2 Dual
• Verification of Housing Status
• Participation Agreement
• Release of Information
• Photo Release
• Assessment Resources 
  • HVRP Assessment Tool
  • Assessment 1
  • Assessment 2 Extended
  • Barriers Checklist
  • Employment Readiness

Case Management 

• Individual Employment Plan (IEP) 1
• Individual Employment Plan (IEP) 2
• Case Notes
• Grievance Policy

Questions?
If you have questions, need assistance or have a success story to share, please contact us.
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