Orange County NC Website
11 <br /> I a. Source documents (e.g., notice of <br /> 2 termination from employment, bank <br /> 3 statement, health care bill showing arrears); <br /> 4 or <br /> 5 b. Written statement by referring agency <br /> 6 staff confirming that they spoke to a <br /> 7 relevant third party to verify homelessness <br /> 8 or at risk homelessness status; or <br /> 9 c. Written statement by referring agency <br /> 10 staff of the efforts taken to obtain <br /> 11 verification through source documents and <br /> 12 relevant third parties <br /> 13 d. Verification that the Local Rent <br /> 14 Supplement Program applicant met one of <br /> 15 the seven conditions under the definition of <br /> 16 Homelessness as evidenced by one of the <br /> 17 following: <br /> 18 i. Source documents that evidence <br /> 19 one or more of the conditions; <br /> 20 1. A Homeless/At Risk <br /> 21 Homelessness Certification <br /> 22 Form completed by a service <br /> 23 provider. <br /> 24 2. A written statement by a <br /> 25 relevant third party or the <br /> 26 written certification by <br /> 27 referring agency staff of the <br /> 28 oral verification by the <br /> 29 relevant third party that the <br /> 30 applicant meets one or more <br /> 31 of the conditions; or <br /> 32 3. A written statement by the <br /> 33 referring agency staff that <br /> 34 the staff person has visited <br /> 35 the applicant's residence and <br /> 36 determined that the applicant <br /> 37 meets one or more of the <br /> 38 conditions or, if a visit is not <br /> 39 feasible or relevant to the <br /> 40 determination, a written <br /> 41 statement by the referring <br /> 42 agency staff describing the <br /> 43 efforts taken to obtain the <br /> 44 required evidence. <br /> 45 <br /> 46 <br /> 47 3. In addition, one or more of the following should <br /> 48 be provided: <br /> 49 a. A written documentation of observation <br /> 50 by an outreach worker; <br />