Family Rapid Rehousing Forms

Dear Applicant,

Thank you for filling out the Family Rapid Rehousing application.  You can either fill it out electronically or by hand.  If it seems daunting, just take a few breaths and relax.  If you have any questions about the application process, please ask Marie!  Here are a few things you need to know:

1.     The Valley Homeless Connection Assessment and Intake:  Begin with Part II. Head of Household (under the second solid black line).

2.     The Valley Homeless Connection NO INCOME STATEMENT is to only be filled out if you don’t have any income.  If you have income, you will have to provide income statement(s).

3.     The HOMELESS CERTIFICATION FORM:  Fill out beginning with CHRONIC HOMELESS CERTIFICIATION (under the first solid black line).

4.     The Vulnerability Index- Service Prioritization Decision Assistance Tool (VI-SPAT) only needs pages 4-10 filled out.

5.     Copy of the rent agreement between landlord and tenant.




Valley Homeless Connection Assessment & Intake Form


Valley Homeless Connection No Income Statement form OR Income Statement(s)


Virginia DHCD Homeless Certification Form


VHC 90-Day Housing Stability Plan


VHSP Rapid Re-Housing Program Participant Eligibility Requirements


Homeward Community Information System (HCIS) Release of Info


Vulnerability Index – Service Prioritization Decision Assistance Tool (pages 4-8)


Copy of the rent agreement between landlord and tenant

Translate »