NOTICE OF PRIVACY PRACTICES Homeless Management Information System (HMIS) WHY WE COLLECT THIS INFORMATION Kansas City participates in a Homeless Management Information System (HMIS), a local database used to record information about people experiencing homelessness. HMIS is a requirement of the U.S. Department of Housing and Urban Development (HUD) and is used to improve the quality and coordination of housing and services across our community. WHAT INFORMATION WE COLLECT We may collect the following information about you: • Name, date of birth, and Social Security Number (for identification purposes) • Contact information (address, phone, email) • Household composition and family members • Housing history and current living situation • Income, benefits, and employment information • Health and disability status (as relevant to services) • Services you have received and their outcomes HOW YOUR INFORMATION IS USED Your information may be used to: • Coordinate housing and supportive services across participating agencies • Generate reports required by HUD and other federal, state, or local funders • Improve planning and resource allocation for homeless services in our community WHO CAN SEE YOUR INFORMATION Your information may be shared with: • Staff at agencies participating in the [Your CoC Name] HMIS who are providing you services • HUD and authorized federal oversight agencies, in de-identified or aggregate form • Researchers and evaluators, only in de-identified form that does not identify you personally Your information will NOT be shared with immigration authorities, law enforcement (except as required by law), or any party not authorized under this notice without your separate written consent. YOUR RIGHTS You have the right to: • Refuse to provide information. You may still receive services, though some programs may require certain data to determine eligibility. • Review your record. You may request to see the information stored about you in HMIS. • Request corrections. If you believe information in your record is inaccurate, you may request a correction. • Withdraw consent. You may ask that your information no longer be shared, though data already submitted to funders cannot be removed. HOW LONG WE KEEP YOUR INFORMATION Your information will be retained for [X] years after your last contact with a participating agency, as required by HUD data retention policies. QUESTIONS OR CONCERNS If you have questions about this notice or how your information is used, please contact: The Greater Kansas City Coalition to End Homelessness This notice is provided in accordance with HUD's HMIS Data Standards and applicable privacy regulations.

RELEASE OF INFORMATION Homeless Management Information System (HMIS) PURPOSE OF THIS RELEASE By signing this Release of Information (ROI), you authorize dWell-KC, Kansas City, GKCCEH, and its participating agencies to share your personal information through the Homeless Management Information System (HMIS) for the purpose of coordinating housing and supportive services on your behalf. This release is voluntary. Refusing to sign will not prevent you from receiving services, though it may limit our ability to coordinate care across agencies. INFORMATION AUTHORIZED FOR RELEASE I authorize the sharing of the following information: • Name, date of birth, and identifying information • Contact information and current living situation • Household composition • Income, benefits, and employment status • Health and disability information relevant to housing services • History of services received and housing outcomes • Referrals made on my behalf WHO MAY SHARE AND RECEIVE MY INFORMATION I authorize the following parties to share my information with one another: Sharing From: All agencies participating in the [Your CoC Name] Continuum of Care HMIS Sharing To: All agencies participating in the [Your CoC Name] Continuum of Care HMIS, including but not limited to emergency shelters, transitional housing programs, permanent supportive housing providers, outreach teams, and coordinated entry staff. A current list of participating agencies is available upon request from [Your CoC Name / Lead Agency]. PURPOSE OF SHARING My information may be shared for the following purposes: • Coordinating housing and supportive services across agencies • Determining eligibility for housing programs and prioritization through Coordinated Entry • Tracking service outcomes and program participation • Federal, state, and local reporting as required by HUD and other funders WHAT IS NOT AUTHORIZED This release does NOT authorize sharing my information with: • Immigration or law enforcement authorities • Employers, landlords, or financial institutions • Family members or other individuals not involved in my case • Any party not listed above, without a separate written authorization DURATION OF THIS RELEASE This release is valid for one (1) year from the date signed, unless I revoke it sooner. After expiration, a new release must be signed to continue coordinated information sharing. MY RIGHT TO REVOKE I understand that I may revoke this release at any time by notifying any participating agency in writing. Revocation will stop future sharing but cannot undo information already shared prior to revocation. MY RIGHTS UNDER THIS RELEASE • I have the right to receive a copy of this signed release upon request. • I have the right to inspect information shared about me through HMIS. • I have the right to request corrections to inaccurate information. • I understand that my services will not be withheld if I choose not to sign or if I revoke this release. QUESTIONS OR CONCERNS If you have questions about this release or how your information is shared, please contact: The Greater Kansas City Coalition to End Homelessness This Release of Information is executed in accordance with HUD HMIS Data Standards, 45 CFR Part 164 (HIPAA where applicable), and applicable state privacy laws.