Continuum of Care (CoC) Confirmation Form
Last Updated: March 2025
Instructions
This form is required for Primarily Supportive Housing (50% or more of the total units will serve High Priority Homeless [HPH], People with Disabilities [PWD], or Other Homeless1 households) applications only. The applicant/developer completes the General Information, Unit Information, and Other Supportive Housing Units sections. Once completed, the applicant/developer provides the form to the Continuum of Care (CoC) for their review and certification.
The application is not considered complete and will not be eligible for points for HPH units unless this form is included with the application.
Applicants with projects that are considered Partially Supportive Housing (less than 50% of the total units will serve HPH, PWD, or Other Homeless households) do not complete this form, but instead are required to notify the CoC and county that they are applying for HPH or PWD units using the Notification to the Continuum of Care (CoC) and County/Tribal Human Services Form.
Applicants planning to submit an application for Primarily Supportive Housing projects are expected to contact the CoC early in the planning process to discuss supportive housing needs in the community and develop an appropriate plan to address the needs. The service provider(s) should be involved in the planning process, the presentations to the CoC, and should remain engaged with the CoC as part of the homeless response system. Applicants must follow the steps outlined below when submitting an application for capital funding to Minnesota Housing:
1.	The applicant must contact the local CoC coordinator to request completion of this form as early as possible in the application process. CoC committees generally meet monthly, but some only meet every other month, so consider the meeting schedule when planning your application. Note that most meetings are currently conducted on virtual platforms.
2.	The applicant and service provider are expected to present their proposal to the CoC committee before the CoC will sign this Continuum of Care Confirmation Form. Keep in mind that the CoC may request additional information about the development, and committee members may ask questions. They may also request changes to the proposed plan to better address the need in the community. Remember to allow enough time to accommodate such requests.
3.	When the CoC review is complete, the CoC coordinator or committee chair will complete and sign this form and send it back to the applicant. The applicant/developer must then submit the completed and signed form in the Multifamily Customer Portal.
Refer to the CoC Contact List for CoC coordinator contacts and information on meeting times and locations.
General Information
Developer/Applicant Organization Name:      
Project Name:      
Project Continuum of Care Region:      
Project Street Address:      
Project City, State ZIP Code:      
Project Service Provider(s):      
Project Total Number of Housing Units:      
Unit Information
Complete Tables 1 and 2 below to describe the unit and tenant characteristics of all the units at the property. Keep in mind the following items as you are filling out these sections:
•	High Priority Homeless (HPH units are defined as units set aside for households who are prioritized for permanent supportive housing by the Coordinated Entry System.
•	People with Disabilities PWD units are defined as units that will be set aside and rented to people with disabilities.
•	If using Housing Support for rental assistance or services, indicate if it will be General Housing Support or Long-Term Homeless (LTH) Housing Support.
•	Include “LTH” as an “Other Eligibility Requirement” if Long-Term Homeless (LTH) Housing Support will be used.
•	If there is not a rental assistance source, indicate that rents will be underwritten at supportive housing levels.
Table 1: Unit and Tenant Characteristics
Question	HPH Units	PWD Units	Other Supportive Housing Units	Non-Supportive Housing Units	
Total Number of Units	     	     	     	     	
Household Type(s) (families or singles) 	     	     	     	     	
Population Characteristics 	     	Disability Type(s):      	     	     	
Referral Sources	Referrals through coordinated entry	     	     	N/A	
Will Homelessness Eligibility be Required?	Yes			N/A	
Other Eligibility Requirements	     	     	     	     	
Rental Assistance Source(s)/Number of Units	     /     	     /     	     /     	     /     	
Rental Assistance Source(s)/Number of Units	     /     	     /     	     /     	     /     	
Service Funding Source(s), including funds from the operating budget 	     	     	     	     	
Table 2: Number of Units by Size and Type
Unit Size	HPH Units	PWD Units	Other Supportive Housing Units	Total	
Single Room Occupancy	     	     	     	     	
Efficiency	     	     	     	     	
One Bedroom	     	     	     	     	
Two Bedroom	     	     	     	     	
Three Bedroom	     	     	     	     	
Four or More Bedroom	     	     	     	     	
Total of All Unit Sizes	     	     	     	     	
Other Supportive Housing Units
If proposing other supportive housing units, define the population being proposed and provide rationale for including units in this category. Describe how the need was identified and selected (who was consulted, what data was used, etc.).
     

Certification
This section is to be completed by the CoC Coordinator or Committee Chair.
1.	The CoC has reviewed the proposal to determine (a) if the proposed units meet an identified need for supportive housing in the proposed location, (b) that there is a demonstrated market of eligible households for the units as proposed, and (c) the planned resources for rental assistance and services are appropriate. 
2.	The CoC has discussed and agreed upon the following feedback:
	     
3.	The applicant followed the CoC process and timelines. 
4.	The CoC has the following recommendations or comments:
	     
	CoC Coordinator or Committee Chair Signature
     	     
Authorized Signatory Printed Name	Title
     	     
Authorized Signature	Date