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STEADFAST HOUSING DEVELOPMENT CORPORATION
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Supported Housing Program
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888 Iwilei Rd. #250 · Honolulu, HI 96817 · Phone: (808) 533-0449 · Fax: (808) 533-0459
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Client: Ph:
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CM: Ph:
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The Supported Housing Assessment for your client has been scheduled for:
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Date/Time:
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Location:
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Please have your client bring the following:
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Income Document Verification (SSI, SSDI, DHS benefit letters, or
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Bank Statement with Direct Deposit). - Must be current
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Recent Bank Statements (Checking, Savings, Credit Union, Joint Accounts)
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Letter stating you are on the waitlist for other Rental Assistance Programs.
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(If client has applied to HCDCH (state) Rental Assistance programs or C&C Section 8)
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Pay Stubs: If employed
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(Minimum last 2 months worked. If self-employed last Tax return filed.)
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Picture ID
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Social Security Card
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Medical Insurance Card
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Receipts for any regular out-of-pocket medical expenses
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(If client regularly pays for his/her own medication(s), Therapy sessions, etc.)
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Case Manager to bring the following:
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Current Psych Eval with ICD-10 Code
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The clients current medication(s) and dosage
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Copy of the clients conditions of Probation or Parole
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* If Applicable
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Master Recovery Plan
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