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Non-profit victim service agencies, advocates, and partnerships that provide services to survivors of domestic violence, dating violence, sexual assault, and stalking may adapt these forms, policies, and agreements for immediate use. These templates are considered best practices and should be altered minimally to reflect information specific to your organization.

Click on the title of the below templates and tip sheets to download and view. 

  • Template Application
    Available in English and Spanish
    Applications are used to determine eligibility for a program. This template application is based on the basic eligibility criteria standards outlined by the Office on Violence Against Women (OVW). 
  • Tip Sheet: Best Practices for Setting Eligibility Criteria
    Available in English and Spanish
    If a program chooses to add additional eligibitlity criteria, beyond the guidelines provided by the Office on Violence Against Women (OVW), this document provides guidance for that process.
  • Template Intake
    Available in English and Spanish 
    The intake process is a critical first step in establishing a trusting relationship with a survivor and assessing her or his needs and requests for services.  This template uses best practices to guide this process in the most helpful way possible for the survivor. 
  • Tip Sheet: Best Practices for Transitional Housing Applications & Intakes
    Available in English and Spanish
    This document outlines the different roles and uses of intakes and applications. 
  • Template Welcome Packet 
    Available in English and Spanish
    When survivors enter into transitional housing, a welcome packet that explains available services and various processes for communicating and working with the program is an important piece of ensuring that they are fully informed of all the aspects of the program. 
  • Template Goal Setting Tool 
    Available in English and Spanish 
    Survivors often enter into transitional housing with a long list of things they want and need to do. This tool can help programs work wtih survivors to provide the assistance and support needed to help meet these goals. 
  • Template Appeal Process
    Available in English and Spanish
    If a survivor is denied transitional housing services based on ineligibility, lack of available services, or another reason, they can appeal the decision to be considered again. This template can be adapted to be used to explain the appeal process and as the appeal form. 
  • Template Housing Extension Waiver
    Available in English and Spanish
    Transitional Housing programs have requirements based on funding from the Office on Violence Against Women (OVW) that dictate the minimum and maximum length of stay for a survivor receiving services. Survivors can request that their length of stay be extended if it is needed. This document assists programs in documenting such extensions. 
  • Template Rental Assistance Agreement - When the Program is the Landlord 
    Available in English and Spanish
    If your agency plays the role of the landlord in providing rental assistance, this template agreement can be useful in outlining the conditions agreed upon and provide guidance to the participant on the process.
  • Template Rental Assistance Agreement - When the Program is Not the Landlord
    Available in English and Spanish
    For programs who use a scattered site model and provide rental assistance, but are not in the role of the landlord, this template agreement can outline the conditions agreed upon and provide guidance to the participant on the process.  
  • Template Release of Information Form
    Available in English and Spanish
    This model Release of Information form is based on the the Violence Against Women Act (VAWA) confidentiality obligations that apply to grantees. For this, other related templates and handouts, and additional information on confidentiality obligations, visit the Confidentiality & Technology Toolkit
  • Template Letter to Landlord
    Available in English and Spanish
    This template and the Template Participation Verification Letter (below) can be used by programs when landlords / rental companies request some documentation stating that the program will be providing the client with rental assistance. This letter states how much the landlord / rental company can expect the program to provide to them directly and for what duration of time that assistance will be provided. This document should only be used when necessary and when requested by the client you are working with to assist them in acquiring housing.
    *Note: You must receive a written and time-limited Release of Information from a survivor when using this document.**
  • Template Participant Verification Letter
    Available in English and Spanish
    This template and the Template Letter to Landlord (above) can be used by programs when landlords / rental companies request some documentation stating that the program will be providing the client with rental assistance. This letter is similar to the Template Letter to Landlord and can also be used for the purpose of outlining the expected payment schedule, but this template also describes in more detail what the program is offering to the client. The document is sometimes used when more elaborate housing advocacy is required due to circumstances such as the client having no income, poor credit, pending immigration status, etc. This document should only be used when necessary and when requested by the client you are working with to assist them in acquiring housing.  
    *Note: You must receive a written and time-limited Release of Information from a survivor when using this document.**
  • Template Documentation Retention Policy 
    Available in English and Spanish
    This template provide guidance to programs in developing policies and procedures on how long participant documentation should be held by the program. This document provides procedural recommendations for transitional housing programs, as well as emergency shelters and those that provide outreach and legal advocacy. 
  • Template Grievance Procedure
    Availabel in English and Spanish
    Conflicts and concerns may arise between a program participant and other participants or program staff, as natural struggles that exist when people interact regularly and are also addressing they trauma they have experienced. This template grievance procedure allows a program participant to address any concerns and provide an outline for the programs' process in responding.