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HMIS User Documents

Users are the most valuable players in the Monterey and San Benito County Homeless Management Information Systems program. Your participation is key to driving funds to our communities. Below is a list of user documents. (If you do not see the document you are looking for, please contact your HMIS Specialist at dferree@chsp.org.)

Forms for Entries/Exits

  • MOSBE Standard-Exit-Form-10.1.19
  • MOSBE Standard-Update-Annual-Update-Form-10.1.19
  • MOSBE Adult-Intake-10.1.19
  • MOSBE Child-Intake-10.1.19
  • MOSBE Current Living Situation 10.1.19
  • MOSBE PATH Current Living Situation 10.1.19
  • Chronic Homeless Certification Form - 2016
  • COC Training Slides, Eligibility and Chronically Homeless - Final  Rule
  • Homeless Certification Form - 2016
  • Homeless Client Self-Certification Form - 2016
  • Release of Information
  • Release of Information Spanish

Data

  • Data Quality Guideline
  • HMIS-Data-Dictionary
  • HMIS-Data-Standards-Manual

Procedures

  • Case Resolution- Process and Timeline
  • Release of Information- Explanation and Procedure

Privacy Notices (To be posted at each place of intake)

  • Privacy-Notice-Vietnamese
  • Privacy-Notice-Spanish
  • Privacy-Notice-English

Other

  • List of Member Agencies For ROI

Latest News

CA-506 Salinas/Monterey, San Benito Counties Continuum of Care Cancels 2021 Homeless Point-in-Time Count

January 26, 2021

Casa de Noche Buena to begin accepting applications via telephone on Tuesday, January 12, 2021

January 7, 2021

Our Staff

Executive Officer
Roxanne V. Wilson

Program Manager
Nykole Sakihara

Administrative Coordinator
Reham Abdallah

Management Analyst
Katrina McKenzie

Management Analyst
Grant Tuioti

Contract Compliance Coordinator
Molly Machado

HMIS/CARS Specialist
Derek Ferree

Executive Assistant
Kai Reynolds

Contact Us

Coalition of Homeless Services Providers
1942 Fremont Boulevard, Seaside, CA 93955
info@chsp.org
Phone: (831) 883-3080
Fax: (831) 883-3085

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