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Housing Community Discharge Form Mobile App

The Housing Community Discharge Form is designed to be used by case managers and social workers to document client’s discharge from current housing situation. The app includes: Reasons for Discharge, Month Income Sources, Non Cash Benefits, New Resident Setting and Education.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Housing Community Discharge Form Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    RESIDENT NAME

  • Ico textbox

    GENDER

  • Ico date

    BIRTH DATE

  • Ico date

    DISCHARGE DATE

  • Ico checkbox

    Left for a housing opportunity before completing program

  • Ico checkbox

    Completed program

  • Ico checkbox

    Non-payment of rent/occupancy charge

  • Ico checkbox

    Non-compliance with project

  • Ico checkbox

    Criminal activity/destruction of property/violence

  • Ico checkbox

    Reached maximum time allowed in project

  • Ico checkbox

    Needs could not be met by project

  • Ico checkbox

    Disagreement with rules/persons

  • Ico checkbox

    Death

  • Ico checkbox

    Other

  • Ico checkbox

    Unknown / Disappeared

  • Ico dropdown

    MONTHLY INCOME SOURCE

  • Ico decimal

    Amount $

  • Ico summary

    Total Income

  • Ico checkbox

    Food Stamps or money for food on a benefits card

  • Ico checkbox

    MEDICARE health Insurance program

  • Ico checkbox

    Special Supplemental Nutrition Program for Women, infants and Children (WIC)

  • Ico checkbox

    TANF Child Care Services

  • Ico checkbox

    Other TANF-funded services

  • Ico checkbox

    Section 8, public housing, or other rental assistance

  • Ico checkbox

    Other Source

  • Ico checkbox

    MEDICAID health insurance program

  • Ico checkbox

    State Children’s Health Insurance Program

  • Ico checkbox

    Veteran’s Administration (VA) Medical Services)

  • ...and More!

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