Continuum of Care (CoC) Confirmation Form
Instructions: This form is used for applications for Primarily Supportive Housing (50% or more of the total units will serve HPH, PWD, or *other homeless households) applications only. The applicant/developer completes Sections A and B. Once completed, the applicant/developer provides the form to the CoC for their review and completion. Refer to additional instructions and CoC contact information on subsequent pages. 

*Other Homeless Households include individuals leaving institutions that do not have a permanent residence or other Homeless populations not referred by the Coordinated Entry System.

A.	General Information	
Continuum of Care Region	     	
Developer/Applicant Organization	     	
Name of Proposed Project	     	Total number of Housing Units	     	
Project Location	     	
Service Provider(s) 	     	
Key: HPH = High Priority Homeless; PWD = People with Disabilities; SH = Supportive Housing; HH = Households; SRO = Single Room Occupancy; Eff = Efficiency; BR = Bedroom; Youth is defined as age 24 and under

B.	Unit Information	HPH Units	PWD Units	Other Units	
Total Number of Units	     	     	SH units      /
Not SH units      	
Number of Units by HH Type (family, single, youth single or family)	Family:      
Single:       
Youth single:        
Youth family:       	Family:      
Single:       
Youth single:        
Youth family:       	Family:      
Single:       
Youth single:        
Youth family:       	
Number of Units by Size
(SRO, Eff, 1 BR, etc.)	     	     	     	
Population Characteristics and Referral Sources of Each Unit Type	Additional Population Characteristics
     
	Disability Type(s): 
     
Referral Sources:
     	Population Characteristics
     
Referral Sources:
     	
Other Eligibility Requirements	     	     	     	
Rental Assistance Source(s)** / Number of Units	     /     
     /     	     /     
     /     	     /     
     /     	
Service Funding Source(s),** including funds from the operating budget 	     	     	     	
**If using Housing Support for rental assistance or services, indicate if it will be general Housing Support or Long-term Homeless (LTH) Housing Support. If LTH, include “LTH” under “Other Eligibility Requirements.” If there is not a rental assistance source, indicate that rents will be underwritten at supportive housing levels. 

C. 	Section C to be Completed by the CoC Coordinator or Committee Chair
1.	The CoC has reviewed the proposal to determine (a) if the proposed units meet an identified need for supportive housing in the proposed location, (b) that there is a demonstrated market of eligible households for the units as proposed, and (c) the planned resources for rental assistance and services are appropriate.   Yes    No
2.	The CoC has discussed and agreed upon the following feedback:
     
3.	The applicant followed the CoC process and timelines:	  Yes   No
4.	The CoC has the following recommendations or comments: 
     

     	     	
CoC Committee Chair or Coordinator Name	Signature 	
     	     	
Title	Date 	

D.	Instructions for Applicants/Developers
This CoC confirmation form is required as a part of the Minnesota Housing application process only for projects that are considered Primarily Supportive Housing (50% or more of the total units will serve HPH, PWD, or other homeless households). The application is not considered complete without this form and will not be eligible for points for HPH units unless this form is included with the application. 

Applicants with projects that are considered Partially Supportive Housing (less than 50% of the total units will serve HPH, PWD, or *other homeless households) are not required to complete this form, but instead are required to notify the CoC and county that they are applying for HPH or PWD units using the Notification to the Continuum of Care (CoC) and County/Tribal Human Services Form.

Developers planning to submit an application for Primarily Supportive Housing projects are expected to contact the CoC early in the planning process to discuss supportive housing needs in the community and develop an appropriate plan to address the needs. The service provider(s) should be involved in the planning process, the presentations to the CoC, and should remain engaged with the CoC as part of the homeless response system. Developers must follow the steps outlined below when submitting an application for capital funding to Minnesota Housing:
1.	The developer must contact the local CoC coordinator to request completion of this form as early as possible in the application process. CoC committees generally meet monthly, but some only meet bi-monthly, so consider the meeting schedule when planning your application. Note that most meetings are currently conducted on virtual platforms.
2.	The developer and service provider are expected to present their proposal to the CoC committee before the CoC will sign this Continuum of Care Confirmation form. Keep in mind that the CoC may request additional information about the development, and committee members may ask questions. They may also request changes to the proposed plan to better address the need in the community. Remember to allow enough time to accommodate such requests.
3.	When the CoC review is complete, the CoC coordinator or committee chair will complete and sign this form and send it back to the applicant. The applicant/developer must then submit the completed and signed form in the Multifamily Application Portal. 

Refer to the CoC Contact List for CoC coordinator contacts and information on meeting times and locations.