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The document is a VA CRS Extension Request Form used to request an extension for a veteran's case within the Contracted Emergency Residential Services (CERS) program. The form is designed to be completed by a Contract Case Manager and submitted to the VA CERS Liaison at least 7 days prior to the end of a previous referral. Key fields include sections for documenting the veteran's information, housing goals, progress toward housing goals, projected discharge date, referrals, and a justification for the requested extension. The bottom portion of the form is reserved for Contracting Officer's Representative (COR) use, with checkboxes to approve or deny the extension request and space for processing details and comments.

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File details come from the government source that posted it. Updated .