housing

Does tenant have any other defective conditions in the apartment?

Extra Information:

Please provide the following information about each defective condition in the apartment.

What was the defective condition?

When did it start

How long did it last?

How did you notify the landlord

When did you notify the landlord?

Extra Information:

Has tenant ever been without heat or hot water?

Extra Information:

Please provide the following information about each time you went without heat or hot water.

When did you lose heat or hot water?

How long were you without heat or hot water?

What date did you notify the landlord?

How did you notify the landlord?

Extra Information:

Please provide the following information about each time you went without heat or hot water.

When did you lose heat or hot water?

How long were you without heat or hot water?

What date did you notify the landlord?

How did you notify the landlord?

Extra Information:

Please provide the following information about each defective condition in the apartment.

What was the defective condition?

When did it start

How long did it last?

How did you notify the landlord

When did you notify the landlord?

Extra Information:

Please provide the following information about each defective condition in the apartment.

What was the defective condition?

When did it start

How long did it last?

How did you notify the landlord

When did you notify the landlord?

Extra Information:

Please provide the following information about each time you went without heat or hot water.

When did you lose heat or hot water?

How long were you without heat or hot water?

What date did you notify the landlord?

How did you notify the landlord?

Extra Information:

Please provide the following information about each defective condition in the apartment.

What was the defective condition?

When did it start

How long did it last?

How did you notify the landlord

When did you notify the landlord?

Extra Information:

Please provide the following information about each defective condition in the apartment.

What was the defective condition?

When did it start

How long did it last?

How did you notify the landlord

When did you notify the landlord?

Extra Information:

Schedule {{xs_name}} for a room at the designated time in TM, taking care to leave an hour free between interviews whenever possible. Write ‘Intake’ in the “Regarding” box and use HLAB-General as the client.
Don't forget to email {{xs_name}} at the end of the interview.

Extra Information:

If you think think the intake interviewer could benefit from Chris Pierce's expertise send an email informing him of the time and place.

Extra Information:

You are finished.

Extra Information:

Please ask about a first adult in household

Relationship

Income

Extra Information:

Please provide the following information about each time you did not have heat or hot water.

When did you lose heat or hot water?

How long were you without heat or hot water?

How did you notify the landlord?*

When did you notify the landlord?

Extra Information:

Please provide the following information about each defective condition in the apartment.

What was the defective condition?

When did it start

How long did it last?

How did you notify the landlord

When did you notify the landlord?

Extra Information:

What is the PCL's date of birth?

What is PCL's date of birth?

Extra Information:

PART II: DEMOGRAPHIC INFORMATION

Optional Script: I’m now going to ask you a series of optional questions. Please feel free not to respond. (If using this script, please be sure to signal when the optional questions are over. See below.)

Extra Information:

Please provide the following information about each time you did not have heat or hot water.

When did you lose heat or hot water?

How long were you without heat or hot water?

How did you notify the landlord?*

When did you notify the landlord?

Extra Information:

Please provide the following information about each time you did not have heat or hot water.

When did you lose heat or hot water?

How long were you without heat or hot water?

How did you notify the landlord?*

When did you notify the landlord?

Extra Information:

Are there any mandatory reporting issues involved in this case?

Extra Information:

Looks like the PCL is outside our geographic eligibility. If you think this is a mistake, you may continue anyway.

Extra Information:

Please ask for the following contact information from PCL.

Day Time Phone Number

Evening Time Phone Number

Email Address

Extra Information:

SAFETY CARD

Is the caller currently in danger?

If yes, Suggest SAFELINK DV hotline (877-785-2020) to caller.

Extra Information:

How did PCL hear about HLAB?

Referral

Extra Information:

PART III: FINANCIAL ELIGIBILITY

(optional script) Thank you for answering these optional questions, I'm now going to ask you financial questions to determine eligibility.

Extra Information:

Let's email our colleague and let them know about the upcoming interview.

Extra Information:

Choose a scheduled time for the interview.

Schedule the interview*

Extra Information:

Once you have downloaded the documents and saved them Time Matters select next.

Extra Information:

Schedule the interviewer for a room at the designated time in TM, taking care to leave an hour free between interviews whenever possible. Write ‘Intake’ in the “Regarding” box and use HLAB-General as the client.

Extra Information:

Write the interview appointment in the intake binder.

Extra Information:

Please ask about a first adult in household

Relationship

Income

Extra Information:

What is the caller asking HLAB to do?

Req*

Extra Information:

REFER OUT. It has been too many days since termination of voucher decision for HLAB

Extra Information:

Ask PCL the following (optional) demographic questions.

What is your primary language?

Would you like an interpreter?

What is your gender?

If other gender please specify below

What race do you identify as? Do you have an ethnicity?

If other race/ethnicity please specify below

Extra Information:

Please select all (if any) benefits your client currently receives.

Benefits

Extra Information:

What is the PCL's weekly net income?

Earned Income

Child Support (if any)

Alimony (if any)

Extra Information:

PCL is financially eligible because they receive {{benefits_t}}.

Extra Information:

Okay, Lets send Chris an email informing him of the day and time of the meeting only.

Extra Information:

Are there any other income earning adults in the household?

Extra Information:

What are the total non retirement liquid assets and total non liquid assets?

Total Non-Liquid Assets

Total Non-Retirement Liquid Assets

Extra Information:

Total Non-Liquid Assets (e.g., equity in second home) + Designated Retirement Savings (e.g., pensions, IRAs):

Total Non-Retirement Liquid Assets (include cash, savings, checking accounts, but NOT pensions or IRAs)

What is the total number of individuals in the household?

Household size*

Extra Information:

Please ask the PCL about the landlord and their attorney?

Landlord Name

Landlord Attorney

Extra Information:

Are there any upcoming deadlines (including court dates)?

Extra Information:

When is the nearest deadline?

When is the deadline?*

Court Location*

Extra Information:

PCL appears to be financially eligible.

Extra Information:

Part IV
DETAILS KEY QUESTIONS

Extra Information:

PCL appears to be over income. You can either stop the interview or continue and then speak to the Intake Director before proceeding.

Extra Information:

PCL has too much retirement. You can either stop the interview or continue and then speak to the Intake Director before proceeding.

Extra Information:

Non Payment and Cause follow up questions.

When did PCL stop paying / start falling behind on rent?

How much money does PCL owe?

Extra Information:

The deadline is in {{daystil}} days. {{nextlang}}

Extra Information:

PART B

PROBLEM CATEGORY

Extra Information:

Please ask PCL follow up questions about their subsidized housing.

Subsidized Housing Type*

Development name*

Extra Information:

A tenant-based subsidy is a voucher that is issued to a specific individual or family. The voucher-holder chooses their own privately-owned housing and the Housing Authority subsidizes the rent based on the voucher-holder's income.

A project-based subsidy provides discounted rent based on income, but is tied to a specific unit so that if the tenant moves out they will lose that subsidy.

Is the housing funded at the federal or state level?

How is it funded?*

Extra Information:

What type of housing does the PCL have? (If PCL receives a subsidy, check “Public” or “Subsidized.” If not, check “Private”.)

Extra Information:

Please indicate the date (if any) that the PCL has received the following notices. Leave blank if not applicable.

Date Notice to Quit received (if applicable)

Date Summons and Complaint received (if applicable)

Date PCL received cash for keys letter? (if applicable)

Date PCL received Termination of Voucher Letter (if applicable).

Extra Information:

Please ask the potential client to send us a copy you a copy of their NTQ ASAP to your Google Voice number. Tell the PCL we will not be able to make a decision on their case until we can see the NTQ. Once you received the NTQ please send it the the ID & ED to review along with the phone intake.

Extra Information:

Questions for private housing.

Owner Occupied?*

How many units in the building?

Extra Information:

Okay we need to ask a few more questions because this is an expedited intake.

Extra Information:

Do you think the intake interviewer could benefit from Chris Pierce's expertise?

Extra Information:

What category of case is this?

Extra Information:

Ask PCL the following questions about their non payment case.

Monthly Rent

No of Months Overdue

Total amount owed

Describe reasons for nonpayment, any amounts paid during the past year, and any alternate parent arrangements between tenant and landlord below.

Problem Summary

Extra Information:

Ask PCL the following questions about their case.

Conduct alleged by landlord

Tenant Response to allegations

Describe the allegations in detail, including names, events and any communication between tenant and landlord regarding the incidents.

Extra Information:

Ask PCL the following questions about their case.

Reason(s) given for eviction

Is this a post foreclosure eviction

Is PCL former owner or tenant?

Describe the allegations in detail, including names, events and any communication between tenant and landlord regarding the incidents.

Extra Information:

Ask PCL the following questions about their case.

Has PCL had a hearing?

If PCL has had a hearing, Did PCL receive an adverse decision at the hearing?

Which Housing Authority or other agency issued the caller's voucher?

If caller answers “NO” to either of the above questions, stop phone intake and refer to Harvard Tenant Advocacy Project.

Describe the allegations in detail, including names, events, and any communication between tenant and landlord regarding the incidents.

Extra Information:

Ask PCL the following questions about their case.

Has the caller filed an appeal?

What was the issuing agency?

PROBLEM SUMMARY: Provide a factual summary of the caller’s problem, noting specific names, events, and dates.

Extra Information:

Select an available time slot for the client.

Extra Information:

What is the PCL's address?

Address Line 1

Address Line 2

City*

State

Zip

Extra Information:

We cannot conduct an intake with a PCL that poses a conflict of interest. Please REFER OUT PCL.

Extra Information:

Check Time Matters for a conflict of interest.

Does PCL pass the conflict check?

Extra Information:

The PCL is within our geographic area of service!

Extra Information:

PART I: PERSONAL AND CONTACT INFORMATION

Extra Information:

What is the PCL's full name?

First Name*

Middle Initial

Last Name*

Maiden Name

Suffix

Extra Information:

Welcome to the HLAB Housing Intake Program.

You can pause and resume the tool by clicking the button in the top right labeled Pause and entering in an email address.

Extra Information:

What is your name (Law Student Name)?

What is your name (Law Student Name)?*

Extra Information:

Last Month Rent

Did PCL pay last month's rent (LMR)?

How much did PCL pay for last month's rent?

Did PCL receive a receipt for last month's rent?

Did PCL receive notice of bank where LMR is kept?

If tenant has lived there for more than a year, has tenant received interest on LMR?

Extra Information:

Note

We are not likely to take this kind of case.

Extra Information:

Security Deposit

Did tenant pay a security deposit?

If Yes, How much was the security deposit?

If Yes, Did tenant receive a receipt?

Did tenant receive condition of apartment upon move in?

Did tenant receive notice of bank where SD is kept?

If tenant has lived there for more than a year - have they received interest on security deposit?

Extra Information:

In which courthouse is the case taking place?

Court

Extra Information:

Okay, would you like to send Chris an email informing him of the upcoming intake.

Extra Information:

Please ask the following questions

When did PCL's tenancy begin?

Does PCL have a lease?

What was PCL's initial monthly rent?

What is PCL's current monthly rent?

Is the PCL or anyone in the PCL's household disabled?*

If Yes, please explain disability

Extra Information:

Please provide more information on disability.

Has the PCL ever requested a reasonable accommodation from landlord?

When did you make the request(s)

What was the result of the request(s)

Extra Information:

Filings

Has an answer been filed in court?

Has discovery been filed in court?

Was a jury trial requested?

Has PCL already been to court?

When? Please list all dates.

What is the nature of the upcoming court date?

If other, please explain

Extra Information:

HLAB Housing Intake

A DJ@HLS project

This page is currently unavailable

Does tenant have any other defective conditions in the apartment?

Please provide the following information about each defective condition in the apartment.

Has tenant ever been without heat or hot water?

Please provide the following information about each time you went without heat or hot water.

Please provide the following information about each time you went without heat or hot water.

Please provide the following information about each defective condition in the apartment.

Please provide the following information about each defective condition in the apartment.

Please provide the following information about each time you went without heat or hot water.

Please provide the following information about each defective condition in the apartment.

Please provide the following information about each defective condition in the apartment.

Schedule {{xs_name}} for a room at the designated time in TM, taking care to leave an hour free between interviews whenever possible. Write ‘Intake’ in the “Regarding” box and use HLAB-General as the client. Don't forget to email {{xs_name}} at the end of the interview.

If you think think the intake interviewer could benefit from Chris Pierce's expertise send an email informing him of the time and place.

You are finished.

Please ask about a first adult in household

Please provide the following information about each time you did not have heat or hot water.

Please provide the following information about each defective condition in the apartment.

What is the PCL's date of birth?

PART II: DEMOGRAPHIC INFORMATION Optional Script: I’m now going to ask you a series of optional questions. Please feel free not to respond. (If using this script, please be sure to signal when the optional questions are over. See below.)

Please provide the following information about each time you did not have heat or hot water.

Please provide the following information about each time you did not have heat or hot water.

Are there any mandatory reporting issues involved in this case?

Looks like the PCL is outside our geographic eligibility. If you think this is a mistake, you may continue anyway.

Please ask for the following contact information from PCL.

SAFETY CARD Is the caller currently in danger? If yes, Suggest SAFELINK DV hotline (877-785-2020) to caller.

How did PCL hear about HLAB?

PART III: FINANCIAL ELIGIBILITY (optional script) Thank you for answering these optional questions, I'm now going to ask you financial questions to determine eligibility.

Let's email our colleague and let them know about the upcoming interview.

Choose a scheduled time for the interview.

Once you have downloaded the documents and saved them Time Matters select next.

Schedule the interviewer for a room at the designated time in TM, taking care to leave an hour free between interviews whenever possible. Write ‘Intake’ in the “Regarding” box and use HLAB-General as the client.

Write the interview appointment in the intake binder.

Please ask about a first adult in household

What is the caller asking HLAB to do?

REFER OUT. It has been too many days since termination of voucher decision for HLAB

Ask PCL the following (optional) demographic questions.

Please select all (if any) benefits your client currently receives.

What is the PCL's weekly net income?

PCL is financially eligible because they receive {{benefits_t}}.

Okay, Lets send Chris an email informing him of the day and time of the meeting only.

Are there any other income earning adults in the household?

What are the total non retirement liquid assets and total non liquid assets?

Total Non-Liquid Assets (e.g., equity in second home) + Designated Retirement Savings (e.g., pensions, IRAs): Total Non-Retirement Liquid Assets (include cash, savings, checking accounts, but NOT pensions or IRAs)

What is the total number of individuals in the household?

Please ask the PCL about the landlord and their attorney?

Are there any upcoming deadlines (including court dates)?

When is the nearest deadline?

PCL appears to be financially eligible.

Part IV DETAILS KEY QUESTIONS

PCL appears to be over income. You can either stop the interview or continue and then speak to the Intake Director before proceeding.

PCL has too much retirement. You can either stop the interview or continue and then speak to the Intake Director before proceeding.

Non Payment and Cause follow up questions.

The deadline is in {{daystil}} days. {{nextlang}}

PART B PROBLEM CATEGORY

Please ask PCL follow up questions about their subsidized housing.

Is the housing funded at the federal or state level?

What type of housing does the PCL have? (If PCL receives a subsidy, check “Public” or “Subsidized.” If not, check “Private”.)

Please indicate the date (if any) that the PCL has received the following notices. Leave blank if not applicable.

Please ask the potential client to send us a copy you a copy of their NTQ ASAP to your Google Voice number. Tell the PCL we will not be able to make a decision on their case until we can see the NTQ. Once you received the NTQ please send it the the ID & ED to review along with the phone intake.

Questions for private housing.

Okay we need to ask a few more questions because this is an expedited intake.

Do you think the intake interviewer could benefit from Chris Pierce's expertise?

What category of case is this?

Ask PCL the following questions about their non payment case.

Ask PCL the following questions about their case.

Ask PCL the following questions about their case.

Ask PCL the following questions about their case.

Schedule {{xs_name}} for a room at the designated time in TM, taking care to leave an hour free between interviews whenever possible. Write ‘Intake’ in the “Regarding” box and use HLAB-General as the client.
Don't forget to email {{xs_name}} at the end of the interview.

PART II: DEMOGRAPHIC INFORMATION

Optional Script: I’m now going to ask you a series of optional questions. Please feel free not to respond. (If using this script, please be sure to signal when the optional questions are over. See below.)

SAFETY CARD

Is the caller currently in danger?

If yes, Suggest SAFELINK DV hotline (877-785-2020) to caller.

PART III: FINANCIAL ELIGIBILITY

(optional script) Thank you for answering these optional questions, I'm now going to ask you financial questions to determine eligibility.

Total Non-Liquid Assets (e.g., equity in second home) + Designated Retirement Savings (e.g., pensions, IRAs):

Total Non-Retirement Liquid Assets (include cash, savings, checking accounts, but NOT pensions or IRAs)

Part IV
DETAILS KEY QUESTIONS

PART B

PROBLEM CATEGORY