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Single point of intake

Eligible clients: newly housed homeless people
Delivery is being provided by Habitat for Humanity and we wish to co-ordinate all deliveries into one single drop off.
Drop offs will be at the outside door of the building, recipients will be expected to bring their goods inside and set up their bed themselves.
Bedding colours will be restricted by what is available, it is more helpful to include what they HATE as much as it is what they'd love. Bedding is a basic 'bed in a bag' from Walmart.

Not for people experiencing disaster or bed bugs etc.

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* 1. Referring Agency contact information

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* 2. Client contact and delivery information

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* 3. Mattress size for adult(s)

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* 4. Twin mattress or mattresses for children

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i We adjusted the number you entered based on the slider’s scale.

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* 5. Is bedding needed for all mattresses?

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* 6. Bedding colour suggestions:

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* 7. Is a "home starter kit" required at this time? (one per household)

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* 8. Data question for reporting requirements

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* 9. Anything else we need to know

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