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.

  1. DMHAS CoC RA Operations Guide 2019
  2. DMHAS RA/ CT BOS CoC Monitoring Tool & Guide
  3. Annual Recertification Notice
  4. Approval Letter Rental Assistance
  5. Brief Participant Needs Assessment
  6. CAN Referral and Acceptance Documentation
  7. CoC change in income sample payment letter
  8. CoC Rental Assistance Housing Certificate
  9. Contract Amendment
  10. Contract HAP
  11. Copy of Change Order
  12. Disabling Condition CT BOS CoC Form
  13. DMHAS HIPAA RVS
  14. Federal Privacy Act Notice
  15. Homelessness Verification Form
  16. HUD Inspection 52580-A
  17. Lead Paint Booklet English
  18. Lead Paint Booklet Spanish
  19. Lease CoC Rental Assistance Program
  20. Lessor Lead Paint Disclosure
  21. HMIS ROI Updated: 11-8-18
  22. HMIS Spanish ROI Updated: 11-8-18
  23. Income Calculation Worksheet 9.22.20
  24. New Admission Form
  25. No Income Verification
  26. Occupancy Continuation Form
  27. Owners Assurances
  28. Owners Authorization To Sign
  29. Partnership Agreement Form Letter
  30. Processing Checklist
  31. Rental Assistance List of Advocates
  32. Recertification Payment Letter
  33. Rent Reasonableness Verification
  34. Request For Lease Approval
  35. Required Documents Checklist
  36. Termination from HEARTH Housing Form 9 24 12
  37. Termination of HEARTH Housing Form – Spanish
  38. Termination Letter with Formal OOC Hearing Request
  39. Termination Letter with Informal Hearing Request(2)
  40. VAWA Lease Addendum
  41. Vendor Profile Form
  42. Warning Letter Generic Sample