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Form Name (screen name)

All Verification Forms

Field Name
Top box information

General Information

Phone Fields

General Information
Emergency Contacts
Emergency Contacts
Emergency Contacts
Emergency Contacts
Household Composition
Household Composition
Household Composition
Household Composition

Name Fields
Name
Phone
Relation Dropdown
(HOH)
(HOH)
(HOH)
(HOH)

Title
Name Fields
Gender
Date Of Birth

Household Composition (HOH)


Household Composition (HOH)

Citizenship
Meeting Community Service

Household Composition (HOH)


Household Composition (HOH)
Household Composition (HOH)
Spouse Information
Spouse Information

Alien Registration Number


Ethnicity Type
Education
Citizenship
Meeting Community Service

Spouse Information
Spouse Information
Spouse Information
Family Composition
Family Composition

Alien Registration Number


Ethnicity Type
Education
Citizenship
Meeting Community Service

Family
Family
Family
Family

Alien Registration Number


Ethnicity Type
Education
Education

Composition
Composition
Composition
Composition

Household Information
Household Information
Household Information

Household Information
Income Information
Asset Information
Special Unit Requirements
Rental History
Rental History
Mandatory Information
Mandatory Information
Family w/ Elderly or Disabled

Family w/ Elderly or Disabled


Family w/ Elderly or Disabled
Utility Information
Utility Information
Utility Information
Optional Contact Person
Certifications
New Fanfold section
Community Service Exemption
Community Service Requirement
Lead Awareness Sheet
Reference Registry
Sheriff's Release
Sheriff's Release
Reasonable Accommodation
LEADS Release
HUD 52675 EIV Release
Fingerprint Request

Do you have legal Custody of all minor


children listed above?
Day-Mont West Sojourner question
Childcare Provider Address
Childcare Provider Zip Code
Childcare Provider Home Phone
Zip Code error message
Employer Name
All questions after Account Number
Number of Bedrooms Requested
All Questions
Expecting any changes question (3rd)
All other questions & section
If yes, list company name
Premium Amount
Premium Frequency
If yes, for above list Veterans Affairs?
If yes, for above list Medical Insurance
First Question
Second Question
Third Question
Form Change
Re-title fan fold
New section

Description
Delete: "RE: Name:" field
Delete: "Applicant#" field
Delete: "Project/Unit#:" field
Delete: "Phone" field
Delete: "Fax" field
Delete: "Date" field
Delete: "Email Address" fields (both sides)
Delete: "AMP Phone/Fax" field
Delete: "AMP Name" field
Delete: "AMP Address" field
Edit: Home Phone to "Primary Phone" (make this field required)
Edit: Work Phone to "Alternate Phone #1"
Edit: Cell Phone to "Alternate Phone #2"
Delete: the fourth phone field
Needs to allow for more than just alpha-characters
Change: Make a required field
Change: Make a required field
??? Get list - talk to Mary
Clicking cancel when adding an emergency contact jumps to income information
Fan-Fold Name Change: Head of Household Information
Pre-populate: from the data entered in the General information form
Change: Make a required field
Validation: Head of Household must be 18 years of age or older - currently the application
allows for minors to be added as the HOH (this needs to be validated to make sure a minor is
not added)
Edit: Question form = "Are you a US Citizen?" with Yes/No radiobuttons
Delete: (applicant view only, if possible) - this is something the staff decides based on the
info provided by the applicant and the verification documents
Discuss with Mary
Change: Make a required field
Additional list items (talk to Mary)
Edit: Question form = "Are you a US Citizen?" with Yes/No radiobuttons
Delete: (admin view only, if possible) - this is something the staff decides based on the info
provided by the applicant and the verification documents
Discuss with Mary
Change: Make a required field
Additional list items (talk to Mary)
Edit: Question form = "Are you a US Citizen?" with Yes/No radiobuttons
Delete: (admin view only, if possible) - this is something the staff decides based on the info
provided by the applicant and the verification documents
Discuss with Mary
Change: Make a required field
Additional list items (talk to Mary)
Should not be required

Fix: "Yes" is already selected when entering this section and it should not be
Delete field
Should not be required

Typo: Numbers is spelled incorrectly


Re-order questions - will supply Holly with the corrected order
Field Name Change: "Company Name"
Need to be moved to the Household Information section
Make a drop-down of bedroom sizes
Remove: Middle section
Wording Changes: will supply list to Holly
Move to the Household Information section
Delete
Should be after the "Do you Pay for Private Medical Insurance?" question (required if yes is
selected)
Delete field
Delete field
Wording Change: "Are you able to get utilities?"
Delete field
Delete field
Change: Should mimic what is currently on the HCV side
Edit: Add Signatures
Add: new section called "Certification" - inlcude legal text from paper application and ability
for household members to add signatures
Change: Mandatory Form
Needs to be added - Mandatory Form
Change: Mandatory Form
Change: Mandatory Form
Edit: needs to be a multi-form (needs to be filled out for all household members age 18 and
older)
Change: Mandatory Form
Change: Mandatory Form
Needs to be added - Mandatory Form
Needs to be added - Mandatory Form
Needs to be added

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