D.10 REQUEST FOR EXTENSION.pdf

The document is a VA CRS Extension Request Form used to request an extension for a Contracted Emergency Residential Services (CERS) case for a homeless veteran. The form requires details such as the date of request, veteran information, bed days, contract case manager, housing goals, progress toward housing goals, projected discharge date, referrals, and a justification for the extension. The form is designed to be completed and emailed to the VA CERS Liaison at least 7 days prior to the end of a previous referral or when requested by the CERS Liaison. The bottom portion of the form is reserved for Contracting Officer's Representative (COR) use, with fields for approval/denial and processing date.