Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Sign UpLogin With Facebook
Sign UpLogin With Google

Shelter Verification Form Template

Streamline housing assistance with our Shelter Verification Form

Manually verifying housing can be time-consuming, often leading to delays in assistance for those in need. This Shelter Verification Form Template is designed for case managers, social workers, and housing authorities to quickly and accurately assess shelter eligibility. With customizable fields, secure data collection, and built-in compliance checks, you can save time, enhance communication, and improve service delivery. Experience the ease of streamlining your verification process with our user-friendly live template.

Recipient organization or contact name (optional)
Recipient email (preferred for delivery, optional)
What is the purpose of this verification?
Employment
Public benefits
School/education
Legal/court
Housing application
Other
Please Specify:
Client full name
Date of birth
Client phone (optional)
Has the client stayed overnight at this shelter?
Yes
No
First night stayed
Most recent night stayed
Shelter name
Shelter city and state (omit if confidential)
Notes to include in the verification (optional)
Program type
Emergency overnight shelter
Family shelter
Transitional housing
Day shelter only
Safe haven/Confidential program
Prefer not to say
Other
Please Specify:
Verifying staff full name
Job title
Work phone
Work email
Staff signature
Date signed
I certify that the information above is accurate to the best of my knowledge.
Yes
No
I authorize the shelter to release the above verification to the recipient named.
Yes
No
Client signature
Date signed
Preferred delivery method
Email to recipient
Phone confirmation to recipient
Printed letter for pickup
Fax (if available)
Other/Not specified
{"name":"Recipient organization or contact name (optional)", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Recipient organization or contact name (optional), Recipient email (preferred for delivery, optional), What is the purpose of this verification?","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a shelter verification form template with creative elements for FormCreatorAI article

When to use this form

Use this form when you need to confirm that someone is staying in a homeless or emergency shelter for housing placement, benefits, or safety planning. It helps case managers, shelter staff, and landlords document dates of stay, the facility address, and a staff contact. Typical scenarios include a landlord reviewing an applicant who lists a shelter as the current address, a rapid-rehousing team preparing a unit, or a school arranging services. For screening, pair this form with the Prospective tenant application form to gather employment and rental history. If you expect to reduce upfront costs, the Security deposit waiver form can support your decision and recordkeeping. Together, these documents speed approvals and reduce back-and-forth.

Must Ask Shelter Verification Questions

  1. What is the applicant's full legal name and date of birth?

    This ensures you match the right person across agency, shelter, and landlord records. It reduces errors when you compare details with the Tenant rental application form.

  2. What are the shelter name, address, and program type (emergency, transitional, domestic violence, youth)?

    Knowing the location and program context helps partners coordinate services and mail. It also helps assess eligibility rules tied to program type.

  3. What are the admission date, current status, and expected exit or move-out date?

    Dates establish a verifiable housing history and support benefit timelines. They also help you plan unit availability and move-in readiness.

  4. Who can verify these details at the shelter (staff name, title, phone, and email)?

    A clear point of contact speeds follow-up and reduces fraud risk. It also creates accountability if details change.

  5. Does the resident have documentation or referrals that affect costs (voucher, deposit assistance, or case manager letter)?

    This flags supports that can shorten approval time and lower upfront charges. Recording them now prevents surprises during lease signing.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel