For questions related to this form, please reach out: info@dwell-kc.org · 816-787-6101
For new clients being onboarded into the system
Choose one
Because you indicated veteran status, this client may qualify for HUD/VASH housing vouchers, VA SSVF rapid rehousing, or VA GPD transitional housing. Please ask about any existing VA relationships, open disability claims, or discharge status — an Other Than Honorable (OTH) discharge may affect eligibility.
Select all that apply and enter the monthly amount: