DMHAS CoC Rental Assistance Documents
The documents below have been provided by the CT Department of Mental Health and Addiction Services (DMHAS) and are required for use by all DMHAS CoC Rental Assistance projects.
- Connecticut Permanent Supportive Housing (PSH) Requirements & Operations Guide – PDF (2024.02.07)
- DMHAS and CoC Monitoring Tool and Guide – PDF (2023.10.10)
- CoC RA Workbook Training – Recording
- COC RA Workbook Reference Guide – PDF (2024.04.08)
- COC Rental Assistance Workbook TRA – XLSM (2024.04.08)
- COC Rental Assistance Workbook PRA-SRA – XLSM (2024.04.08)
- Super Change Order – XLSM (2024.04.08)
- Assessment – CT Supportive Housing – PDF
- Brief Participant Needs Assessment – DOC
- CAN Referral and Acceptance Documentation – DOC (2022.09.26)
- CoC Rental Assistance Housing Certificate – DOC
- Disabling Condition Verification Form – See https://www.ctbos.org/resources/ under Eligibility Tools
- DMHAS HIPAA RVS – PDF
- DMHAS Project Spending Tool – XLS
- Federal Privacy Act Notice – DOC
- HMIS Release of Information – PDF (2022.05.25)
- HMIS Spanish ROI Updated: 11-8-18 – DOC
- Homeless Verification Form: See https://www.ctbos.org/resources/ under Eligibility Tools
- HQS Inspection form 52580A – PDF (2022.10.19)
- Lead Paint Booklet English – PDF
- Lead Paint Booklet Spanish – PDF
- Lessor Lead Paint Disclosure – PDF
- No Income Verification – DOC
- Owners Assurances – DOC
- Owners Authorization To Sign – DOC
- Partnership Agreement Form Letter – DOC
- Participant Bill of Rights Statewide – PDF (2024.01.24)
- Participant docs received sign off list – PDF (2024.02.01)
- Rental Assistance List of Advocates – DOC
- Recertification Payment Letter – DOC
- Rent Reasonableness Verification – DOC
- Request For Lease Approval – DOC
- Required Documents Checklist – DOC (2024.03.14)
- Termination from HEARTH Housing Form 9 24 12 – DOC
- Termination of HEARTH Housing Form – Spanish – DOC
- Termination Letter with Final DMHAS Appeal Panel Request – DOC (2024.04.04)
- Termination Letter with Formal OOC Hearing Request – DOC (2024.04.04)
- Termination Letter with Informal Hearing Request – DOC (2024.04.04)
- VAWA Lease Addendum – DOC
- Vendor Profile Form – PDF
- W-9 – PDF (2023.03.06)
- Warning Letter Generic Sample – DOC