Attached is the latest version of the Certification of Homelessness History form, or GHVP-22.
It is a fillable PDF.
This form is for verification of the household's history of homelessness. This helps to confirm eligibility on the basis of the individual/household's current housing status as well as whether they may meet criteria for chronic homelessness. The form is now mandatory to provide homeless history, but an individual does not have to meet the definition of "chronic homelessness" to be eligible for GHVP, it is one of several qualifying criteria.
Keep in mind that individuals can meet other criteria in order to be deemed eligible for GHVP in addition to mandatory eligibility criteria. Eligibility criteria is fully defined in the DBHDD Provider Manual.
Last updated: 9/14/2021