San Diego Coordinated Entry Submission Form for Victim Service Providers

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This form's purpose is to collect non-identifying information about clients who are being served by Victim Service Providers and are interested in being considered for housing opportunities through the Coordinated Entry System. Please do not enter Personally Identifiable Information (PII) on this form.

Client Unique Identifier as it appears in your Comparable Database *

Select an Option from Below *

New Submission (client has never been previously submitted to this form for DV-CES)

Client Update (client has previously been submitted to this form for DV-CES and has updates to their previously submitted data)

Check-in (client has been previously submitted to this form for DV-CES, but has no updates to their data)

Remove from DV-CES (client has been previously submitted to this form for DV-CES and is no longer in need of assistance through DV-CES)

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