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Required Forms
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Purpose
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User
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Download
Document
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CAN/Organization Release of Information
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To allow for verification and advocacy
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Applicant
Intake Worker
Case Manager
|
English
Spanish
French
Haitian Creole Vietnamese
|
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FEMA Release of Information
|
To allow for verification and advocacy
|
Applicant
Intake Worker
Case Manager
|
English
|
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Intake and Determination
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To gather sufficient information to determine KAT program eligibility
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Volunteer
Intake Worker
Outreach Worker
I & R Worker
Case Manager LTRC/UNT
|
English
Spanish
French
Haitian Creole Vietnamese
|
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Initial Assessment
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To engage, assess and initiate recovery planning
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Case Manager LTRC/UNT
|
English
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Recovery Plan
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To summarize the client’s plan of recovery
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Client
Case Manager
|
English
Spanish
French
Haitian Creole Vietnamese
|
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Closure/Summary
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To assess client’s goal achievement at point of case closure
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Client
Case Manager
Supervisor
|
English
Spanish
French
Haitian Creole Vietnamese
|
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Client Satisfaction Survey
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To assess client’s satisfaction with KAT case management services
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Client (voluntary)
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English
Spanish
French
Haitian Creole Vietnamese
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Client Requested Transfer Form
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to facilitate the transfer of a client between KAT agencies, when the request is made by the client
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Client (voluntary)
Case Manager
Supervisor
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English
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Closure/Summary with Addendum
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Addendum to original KAT closure/Summary form to assess client's needs that were met. All other information is the same
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|
English
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