CCANReport Housing Availability CCAN Housing Availability Report Central CAN Housing Programs should use this form to report any housing openings. All openings should be reported via this form at least two business days prior to the relevant housing matching meeting. Opening Type*(blank)Rapid ReHousingPermanent Supportive HousingNumber of RRH Openings*Please note, RRH programs must report openings separately for individuals and families. Please do not combine the total number of openings.Please enter a number from 1 to 20.Number of PSH Openings*Please note, PSH programs must report openings separately for different size certificates (ex - can report multiple one bedroom certificates at a time, but need to submit a separate entry for a one bedroom and a two bedroom)Please enter a number from 1 to 20.Population Type*(blank)IndividualFamilyAgency*(blank)ChrysalisCHRThe ConnectionCMHAFriendship Services CenterHRA of New BritainCHR Program*CT RRHSVDP RRHChrysalis Program*Project HEARRTFamily MattersCosgrove Commons (Veteran)FUSE/CCRLiberty Gardens (Veteran)Next StepsSt. Phillips HouseThe Connection Program*START Program (Youth TLP/RRH)CMHA Program*CMHA 1CMHA 2CMHA 3Friendship Services Center Program*PEAKASH180 NorthHRA Program*12Scattered Site/ Project Based*Is this opening for a scattered site certificate, or is there a subsidized opening in a project-based program?Scattered SiteProject BasedScattered Site: Opening Information*What is the bedroom size for this certificate?0BR/ Efficiency1 BR2 BR3 BR4 BRProject Based: Opening Information*What is the bedroom size for this opening?0BR/ Efficiency1 BR2 BR3 BR4 BRProject Based: Is this unit handicap accessible?*YesNoNo, but project is willing to modify the unit for accessibility if requiredProject Based: Will the tenant be responsible for paying utilities?*Yes, the tenant must be able to pay for utilitiesNo, all utilities are included in this openingProject Based: Is this unit handicap accessible?*YesNoNo, but project is willing to modify the unit for accessibility if requiredProject Based: On what floor of the building is this opening?*First FloorSecond FloorThird FloorFourth FloorProject Based: Is this unit handicap accessible?*YesNoNo, but project is willing to modify the unit for accessibility if requiredStaff Reporting Opening* First Last Email of Staff Reporting Opening* Today's Date* Date Format: MM slash DD slash YYYY Date Certificate/Unit Will Be Available for Lease-Up* Date Format: MM slash DD slash YYYY Additional NotesIf there are any additional notes you'd like to add, please include detail here (for example, if multiple openings are reported in a project-based program, list out detail like differing bedroom size, accessibility, or location in the building, here)PhoneThis field is for validation purposes and should be left unchanged.