North Carolina Coalition to End Homelessness
PO Box 27692
Raleigh, NC 27611
Tel: 919-755-4393
Reporting Forms for the 2012 Point-in-Time Count
The 2012 Point-in-Time Count will be held the night of Wednesday, January 25.
The forms below should be used to report data for the count. Please see the instructions for how to use each form.
Sheltered Count Forms
Each emergency shelter, transitional housing program, and permanent supportive housing program in the state must fill out one of these forms.
- Programs in the Balance of State CoC should turn the forms in to NCCEH.
- Programs in all other CoCs should turn the forms in to their local PIT coordinator.
| Sheltered Count Form |
Unsheltered (Street) Count Forms
Communities conducting street counts or services-based counts of unsheltered homeless persons should use this form to report their data.
- Programs in the Balance of State CoC should turn the forms in to NCCEH.
- Programs in all other CoCs should turn the forms in to their local PIT coordinator.
This survey can be used while interviewing homeless persons during the count to collect needed information.
- These forms do not need to be turned in to NCCEH. Check with your local PIT coordinator to see if forms are being collected locally.
Continnum of Care Reporting Form
This form is for CoC leadership to report the CoC's total count to the State of North Carolina.
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Communities in the Balance of State CoC do not need to fill out this form.
- All other CoCs in North Carolina must submit one of these forms to NCCEH.
| CoC Reporting Form |
Imminently Literally Homeless and At-Risk of Homelessness Form
This form is for communities to count numbers of people who are imminently literally homeless and at-risk of homelessness.
- This form is optional. Check with your local PIT coordinator to see if forms are being collected locally.
| Imminently Literally Homeless and At-Risk Form |
2012 Point in Time Count Training
| NCCEH held a PIT Count training on January 6, 2012. | view PowerPoint presentation |
