36C26220R0101-004.pdf
PDF Posted
- Attached to
- Q999--HCHV Contracted Emergency Residential Care Program New Requirement - Transitional Housing 15-Beds
- Solicitation number
- 36C26220R0101
About this file
36C26220R0101 ATTACHMENT B - Request for Extension of Per Deim Form.pdf
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26220R0101-003.pdf | ||
| 36C26220R0101-001.docx | DOCX document | |
| 36C26220R0101-002.pdf | ||
| 36C26220R0101-008.pdf | ||
| 36C26220R0101-007.pdf | ||
| 36C26220R0101-005.pdf | ||
| 36C26220R0101-006.pdf |
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Text version
Extensions request protocol:
Extensions of the Veteran initial authorized period shall be requested in writing by the Contractor, with justification of the Veteran’s need and updated treatment plan. Approvals shall be authorized in writing by the VA Grant and Per Diem Program Manager/Contracting Officer Representative (COR).
Please complete the following and provide to the program liaison for review.
1. Justification of Veteran’s need for extension:
2. Steps taken to date to house veteran:
3. Barriers identified:
4. Plan to mitigate barriers:
5. Plan to be implemented during extension period: (please include timeline)
6. Housing plan: (please give a minimum of 2 housing plans)
7. Is veteran in agreement with plan?
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