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Partner Type
ID
Date Created
Created by
Data creation status
Name
*
Street
*
House #
*
Unit #
City
*
State
*
Choose the State
ALABAMA
ALASKA
AMERICAN SAMOA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARSHALL ISLANDS
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PALAU
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Zip Code
*
Inspection needs to be done by a contractor
*
Yes
No
CoC Relationship
*
Yes
No
CoC
Choose the CoC
Vacant
*
Yes
No
Number of Users: 0
List of Users
ID
*
ID
Role
*
Choose Role
Head of Household
Family Member
Caretaker
Friend
First Name
*
Last Name
*
Address
Email
*
Phone
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