HSP – Barriers to Housing Stability Assessment/Plan



HSP – Barriers to Housing Stability Assessment/PlanCOMPLETE FOR HEAD OF HOUSEHOLD, SINGLES, AND UNACCOMPANIED YOUTHBarrierYesNoN/ARental History -Evictions or unlawful detainers:Poor reference from current/prior landlords:Lack of rental history:Credit History -Unpaid rent or utility bills:Lack of or poor credit history:Criminal History -One or more misdemeanors:Critical felony (sex crime, arson, drugs):HealthChemical Health - Chemical use currently affects housingMental Health - Mental health currently affects housing:Physical/Medical Condition - Medical/Physical currently affects housingDomestic Violence/AbuseDomestic violence/abuse currently affects housingIncome Related -Needs temporary assistance to get or keep housingIf housed: percent of income spent on housing exceeds 30%If not housed: not enough funds to spend on housing:Lacks steady, full time employmentLacks high school diploma or GEDJob barrier: limited English proficiencyJob barrier: lack of reliable transportation Job barrier: lack of reliable/affordable child careHow will HSP funds and/or services help address these barriers? ................
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