ATTACHMENT D - EXTENSION REQUEST - BLANK.docx

This document is an Extension Request form for a Veteran housing program administered by the Department of Veterans Affairs (VA). The form outlines a detailed protocol for contractors to request extensions of a Veteran's initial authorized housing period. Contractors must submit a comprehensive written request that includes specific components such as justification for the extension, steps taken to house the Veteran, identified barriers, mitigation plans, implementation timeline, housing options (minimum of two plans), and confirmation of the Veteran's agreement with the proposed plan. The extension request must be reviewed and authorized in writing by the VA Grant and Per Diem Program Manager or Contracting Officer Representative. The related federal contract opportunity (Solicitation Number 36C26225R0090) is for Emergency Residential Beds in Service Procurement Area 5, with a response deadline of September 25, 2025, at 10 AM Pacific Time, issued by the Department of Veterans Affairs Network Contracting Office in Long Beach, California.