COHMIS Program Set Up Form (Metro Denver)

COHMIS Program Set Up Form

*Please note the project set up turnaround is within 7 business days of form submission*
AGENCY INFORMATION
Today's Date*

MonthDayYear
Date
Agency Name*
Agency Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

THIS SECTION IS REQUIRED FOR EMERGENCY SHELTER OR ANY HOUSING PROGRAM
COHMIS Housing Project Inventory Setup Form

This form serves two purposes—confirming adequate setup of projects in HMIS, which will then be used to generate the Housing Inventory Count (HIC) which is submitted to the U.S. Department of Housing and Urban Development (HUD). This form must be filled out for Emergency Shelters, Permanent (Supportive) Housing, Transitional Housing, and Rapid-Rehousing programs.
Housing Inventory Start Date *THIS DATE MUST BE ON OR AFTER THE PROJECT START DATE*

MonthDayYear
Date
Housing Inventory End Date (if applicable)

MonthDayYear
Date
Bed Type
Bed Availability
YesNo
Number of BEDS/VOUCHERS dedicated to youth who are Veterans (if applicable)
Number of BEDS/VOUCHERS dedicated to any other youth (if applicable)
Number of BEDS/VOUCHERS dedicated to any other Veterans (if applicable)
Number of non-dedicated BEDS/VOUCHERS (beds for any type of client)
Total BED/VOUCHER inventory
Total UNIT inventory (for Housing Programs)
Of the total number of beds/vouchers for all clients (you must choose at least one):
Total number of beds/vouchers for households with only children under the age of 18 (if applicable)
Total number of beds/vouchers for households with at least one child (if applicable)
Total number of beds/vouchers for households without children (if applicable)
Should be Empty:

COHMIS Program Set Up Form