Notification to the Continuum of Care and County/Tribal Human Services Form
Last Updated: March 2025 
Instructions: This notification form is required for applicants with projects that are considered Partially Supportive Housing. Partially Supportive Housing is defined as housing where less than 50% of the project’s total units will serve High Priority Homeless (HPH), People with Disabilities (PWD), or Other Homeless households.
The applicant submits the completed form to the Continuum of Care (CoC) Coordinator and the county or Tribal human services office so that they are aware of the proposed units in their community. Refer to the CoC Contact List for CoC coordinator contact information. Reach out to the county or Tribal human services office to find the relevant staff contact information.
While applicants are only required to notify the CoC and county/Tribal human services about their application with supportive housing units, it is advisable to consult with them to learn about the local needs and resources for people experiencing homelessness and people with disabilities.
Applicants must also submit this completed form in the Multifamily Customer Portal along with a copy of each email verifying the form was sent to the CoC Coordinator and the county or Tribal human services contact.
Note that applicants with projects that are considered Primarily Supportive Housing must complete the CoC Confirmation Form and should not use this notification form. To meet the requirements for Primarily Supportive Housing, 50% or more of the project’s total units must serve HPH, PWD, or Other Homeless1 households.
General Information
Continuum of Care Region:      
Developer/Applicant Organization Name:      
Project Name:      
Project Street Address:      
Project City, State ZIP Code:      
Unit Information
Table 1: Unit Information
Unit Size	HPH Units	PWD Units	Other Supportive Housing Units	Total Units at Property	
Single Room Occupancy	     	     	     	     	
Efficiency	     	     	     	     	
One-Bedroom	     	     	     	     	
Two-Bedroom	     	     	     	     	
Three-Bedroom	     	     	     	     	
Four-Bedroom or More	     	     	     	     	
Total of All Unit Sizes	     	     	     	     	
Additional Information
1.	Provide additional relevant project or supportive housing specific information; for example, proposed service partner(s), resources planned for rental assistance or service funding, etc. Indicate if Long-Term Homeless (LTH) Housing Support will be used as a resource for the HPH or PWD units.
	     
2.	If proposing other supportive housing units, define the population being proposed and provide rationale for units in this category. Describe how the need was selected and include who was consulted, what data was used, etc.