Lane County HPRP Provider

ShelterCare Family Housing Program
969 Highway 99 North
Eugene, OR  97402
541-689-3785

Manuals and Info Sheets

• Lane County HPRP Manual (revised 2012-02-28)
• Current Fair Market Rent  

Required Forms

• Client Intake Form (ServicePoint Entry/Exit form in PDF)
• Verification of Income (MS Word)
• Self-Declaration of Income (MS Word)
• Homeless Certification (MS Word)
• Self-Declaration of Housing Status  (MS Word)
• Rent Reasonable-MRC Checklist (MS Word, revised 2011-10)  
• Participant Service Plan (MS Word)
• Staff Certification (PDF, updated 2010-03)
• Financial Assistance Calculator (MS Excel)
• Habitability Standards (Lead-based Paint) (MS Word)
• Eugene Habitability Standards (Lead-based Paint) (MS Word)
• Intake and Assessment Form Intake and Assessment Form  (MS Word)
• Rent Reasonableness Analysis & Monthly Rent Cap Certification ( revised 01/09/12 MS Word)

Optional Forms (as needed)

• Second Chance Referral (MS Word)
• Referral and Prescreening Form (MS Word)
• HPRP File Check List (MS Word, revised 2012)
• Intake and Assessment SHORT Form (MS Word)
• LifeLine Referral Form (MS Word)
• HPRP Documentation Checklist Template Overview  (PDF)     
• HPRP Documentation Checklist-Eligibility   (MS Word)
• HPRP Documentation Checklist-Financial Assistance-Housing Unit  (MS Word)
• HPRP Eligibility Determination and Documentation Guidance (PDF)