Forms

Released: Self-Certification of Homelessness Form (Version 1.0)

Overview

Purpose

The Louisiana Balance of State Continuum of Care (LA BOSCOC) has released its Self-Certification of Homelessness Form (Version 1.0).

This form can be used with participants to self-certify their homelessness status.

Note that using this form is optional; while this form was developed in partnership with technical assistance and LA BOSCOC service providers and, when used correctly, meets the standards of self-certification, projects are welcome to continue using comparable forms at their discretion.

Accessing the document

Click here to download the Form.

The Louisiana Balance of State Continuum of Care is dedicated to preventing and ending homelessness in Louisiana. We believe all people are entitled to safe, stable, and secure housing. We are committed to working with stakeholders across our geography, in different professional circles, and from every background to create a Louisiana in which no person lives in fear of homelessness.