North Carolina Coalition to End Homelessness

2016 Point-in-Time Count Forms

The 2016 North Carolina Point-in-Time Count will be held the night of Wednesday, January 27, 2016. Please use the forms below to record and report your data from the count.

Forms that need to be submitted to NCCEH can be sent by email (preferred) or by fax to 1-888-742-3465.

Sheltered Homeless Count Form

USE FOR: emergency shelters (including domestic violence shelters), seasonal shelters, transitional housing programs 

  • Balance of State CoC communities: submit forms to NCCEH by Feb. 19. Agencies that use HMIS must also submit their HMIS PIT report.
  • All other CoCs: submit forms to your local PIT coordinator.
Sheltered Homeless Count Form
Word form (fill out on computer)
PDF form (fill out by hand)
 

Unsheltered Homeless Count Form

USE FOR: street counts and services-based counts of unsheltered homeless persons

  • Balance of State CoC communities: submit forms to NCCEH by Feb. 19.
  • All other CoCs: submit forms to your local PIT coordinator.
Unsheltered Homeless Count Form     
Word form (fill out on computer)
PDF form (fill out by hand)
 

Rapid Re-Housing Count Form

USE FOR: rapid re-housing programs

  • Balance of State CoC communities: submit forms to NCCEH by Feb. 19. Agencies that use HMIS must also submit their HMIS PIT report.
  • All other CoCs: submit forms to your local PIT coordinator.
Rapid Re-Housing Count Form     
Word form (fill out on computer)
PDF form (fill out by hand)


Permanent Supportive Housing Count Form

USE FOR: permanent supportive housing programs

  • Balance of State CoC communities: submit forms to NCCEH by Feb. 19. Agencies that use HMIS must also submit their HMIS PIT report.
  • All other CoCs: submit forms to your local PIT coordinator. 
Permanent Supportive Housing Count Form
Word form (fill out on computer)
PDF form (fill out by hand)

Point-in-Time Count Survey

USE FOR: interviewing homeless persons during the count to collect needed information 

  • These forms should be collected locally for review and de-duplication of your count.
  • You may edit the Word version of this form according to your community's needs.
Point-in-Time Count Survey
Word document (editable)
 

Continnum of Care PIT Count Form

USE FOR: Continuum of Care leadership to report the CoC's total count to NCCEH. 

  • Balance of State CoC communities: DO NOT submit these forms to NCCEH. 
  • All other CoCssubmit these forms to NCCEH. The deadline will be after submission in the HDX (exact date TBD).

CoC PIT Count Form

Excel workbook
 

Imminently Homeless/At-Risk of Homelessness Form

USE FOR: optional counts of people who are imminently literally homeless or at risk of homelessness.

  • This form does not need to be submitted to NCCEH. 
  • Check with your local PIT coordinator to see if forms are being collected locally. 
Imminently Homeless/At-Risk of Homelessness Form
Word form (fill out on computer)
PDF form (fill out by hand)
 

2016 Point in Time Count Trainings

Intro to PIT for the Balance of State CoC (short pre-recorded training)

watch training

Presentation from Training for the Balance of State CoC (held 1.7.16)

view slides

Presentation from Training for Other CoCs (non-Balance of State) (held 1.7.16)

view slides 

watch recording

Tags: practice