Housing Status Assessment Guide for State TANF and Medicaid Programs. Housing Status Assessment Guide for State TANF and Medicaid Programs : Table 6

03/16/2009

: Table 6

     a.       Received an eviction notice
     b.       Non-payment of rent or past due rent
     c.       Unable to pay future rent because lost housing subsidy, job, or other income source
     d.       Non-payment of utilities or utility shut-off
     e.       Housekeeping concerns (failure to maintain cleanliness of the unit)
     f.        Housing is or will be condemned
     g.       Friend or family member being evicted or threatened with eviction
     h.       Threat of abuse by partner, family member, or other
     i.         Being discharged or service is being terminated
     j.         Personal conflict with others
     k.       Other health or safety concerns
     l.         Other lease violation(s) (please describe):______________________
     m.     Other (please describe):____________________________________
     n.       Dont know
     o.       Refused