TADS@washoecounty.gov
1155 E 9th St, Reno, NV 89512
775-328-2575
Client Name
Gender
Date of Birth
Veteran?
Phone Number Available?
Currently Homeless?
Evictions?
Date of Eviction
Victim of Elder Abuse?
Date EPS Report was Made
Do you have a pet?
Can you provide pet's current vaccine information?
Do you have money available?
Independent with Activities of Daily Living (i.e. eating, bathing, dressing, toileting, etc.)?
Independent with Instrumental Activities of Daily Living (i.e. managing finances, handling transportation, shopping, preparing meals, etc.)?
Any of the following?
Are you able to live in a shelter with shared rooms?
Do you live alone?
