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<systemform>
  <formid>{a795b153-7dba-4967-bfba-dc02ace30f21}</formid>
  <IntroducedVersion>1.1.0.2</IntroducedVersion>
  <FormPresentation>1</FormPresentation>
  <FormActivationState>1</FormActivationState>
  <form maxWidth="400">
    <tabs>
      <tab id="{29d96edb-b11f-4e68-97d6-53117113923a}" name="tab_1" showlabel="false" locklevel="0" expanded="true">
        <labels>
          <label description="Homelessness Questions" languagecode="1033" />
        </labels>
        <columns>
          <column width="100%">
            <sections>
              <section id="{f31f7242-7c13-4607-8aaf-d666afaec5ef}" name="tab_1_column_1_section_1" columns="1" showlabel="false" showbar="false" IsUserDefined="0" locklevel="0" labelwidth="175" celllabelalignment="Left" celllabelposition="Left">
                <labels>
                  <label description="section" languagecode="1033" />
                </labels>
                <rows>
                  <row>
                    <cell id="{a6a603b3-dde3-628a-6840-4e477583b0c0}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Is veteran currently homeless?" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_isvethomeless_code" classid="{3EF39988-22BB-4f0b-BBBE-64B5A3748AEE}" datafieldname="vhacrm_isvethomeless_code" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{1b360259-a59e-66cb-4e78-b4be1bd2a818}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="If so, how long?" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_homelesshowlong_code" classid="{3EF39988-22BB-4f0b-BBBE-64B5A3748AEE}" datafieldname="vhacrm_homelesshowlong_code" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{12940645-8072-4373-b19b-79b81b764d75}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="If so, Veteran is staying:" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_ifhomelessstaying_code" classid="{3EF39988-22BB-4f0b-BBBE-64B5A3748AEE}" datafieldname="vhacrm_ifhomelessstaying_code" disabled="false" />
                    </cell>
                  </row>
                </rows>
              </section>
              <section name="tab_1_section_2" showlabel="false" showbar="false" locklevel="0" id="{e8a4a11c-03b5-99d5-684a-5c7383a29537}" IsUserDefined="0" layout="varwidth" columns="1" labelwidth="175" celllabelalignment="Left" celllabelposition="Left">
                <labels>
                  <label description="Section" languagecode="1033" />
                </labels>
                <rows>
                  <row>
                    <cell id="{5b30d97e-d9ba-9db3-d808-1abd3d243607}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Is Veteran employed?" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_isvetemployed_code" classid="{3EF39988-22BB-4f0b-BBBE-64B5A3748AEE}" datafieldname="vhacrm_isvetemployed_code" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{2439661e-bd93-30e4-3a5d-eba8cc6c5910}" showlabel="false" userspacer="true">
                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
                    </cell>
                  </row>
                  <row>
                    <cell id="{0e36dee4-68ee-ca04-34a8-46c6cca185d5}" showlabel="false" userspacer="true">
                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
                    </cell>
                  </row>
                  <row>
                    <cell id="{a32798d0-0013-ab9d-0318-4d8e82d316ce}" showlabel="false" userspacer="true">
                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
                    </cell>
                  </row>
                  <row>
                    <cell id="{6751e766-9d4b-52c6-4961-37401379c895}" showlabel="false" userspacer="true">
                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
                    </cell>
                  </row>
                  <row>
                    <cell id="{865182b4-93b6-4933-e895-6e18100c38e1}" showlabel="false" userspacer="true">
                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
                    </cell>
                  </row>
                </rows>
              </section>
              <section name="tab_1_section_3" showlabel="true" showbar="false" locklevel="0" id="{76b26774-8d05-b142-6bba-8922849c2e79}" IsUserDefined="0" layout="varwidth" columns="1" labelwidth="175" celllabelalignment="Left" celllabelposition="Left">
                <labels>
                  <label description="Select any family obligations Veteran has:" languagecode="1033" />
                </labels>
                <rows>
                  <row>
                    <cell id="{314e5149-3d37-0731-38d6-9e29abc8b3a9}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Spouse" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_obligationspouse_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_obligationspouse_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{1dd72c43-1e86-0180-8eab-a0b51408e71b}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Children" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_obligationchildren_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_obligationchildren_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{53775333-71ce-1b8d-2351-510c18d4a848}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Parent(s)" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_obligationparents_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_obligationparents_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{13355b69-4dd1-426a-65b8-669d56e3a311}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Others" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_obligationothers_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_obligationothers_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{92768048-5594-0474-2e92-67cb2d499122}" showlabel="false" userspacer="true">
                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
                    </cell>
                  </row>
                  <row>
                    <cell id="{8514272c-22d1-cab8-9c93-ec268a3d55ac}" showlabel="false" userspacer="true">
                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
                    </cell>
                  </row>
                </rows>
              </section>
              <section name="tab_1_section_4" showlabel="true" showbar="false" locklevel="0" id="{b69eac0b-2b04-d87a-73a8-47a5b17ab285}" IsUserDefined="0" layout="varwidth" columns="1" labelwidth="175" celllabelalignment="Left" celllabelposition="Left">
                <labels>
                  <label description="Select any legal issues the Veteran has:" languagecode="1033" />
                </labels>
                <rows>
                  <row>
                    <cell id="{0346b579-1672-3bda-1178-7b51d8529ba5}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Outstanding warrants/fines" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_legalwarrentsfines_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_legalwarrentsfines_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{c2668e62-b586-acce-5925-aa4c9442cc52}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Custody issues" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_legalcustodyissues_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_legalcustodyissues_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{074186e2-da83-5453-0c49-34de79bd3597}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Child support" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_legalchildsupport_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_legalchildsupport_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{2638807b-53c6-33b7-6796-43d82ad256b7}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Alimony" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_legalalimony_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_legalalimony_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{374894a0-932d-a753-3d66-8d204827e9ac}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Eviction" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_legaleviction_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_legaleviction_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{36c36057-a5e0-2429-4840-54d5cb69ed69}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Bankruptcy" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_legalbankruptcy_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_legalbankruptcy_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{0a9d3997-ca4a-c6c4-e6bc-74eb94ba48e5}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Pending court dates" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_legalcourtdates_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_legalcourtdates_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{7142326e-241b-9d42-3c51-a4cbc8409623}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Parole" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_legalparole_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_legalparole_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{7c724101-c883-967a-9b74-9d48963ecac8}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Probation" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_legalprobation_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_legalprobation_bool" disabled="false" />
                    </cell>
                  </row>
                </rows>
              </section>
              <section name="tab_1_section_5" showlabel="true" showbar="false" locklevel="0" id="{5566aad8-3e44-8aec-4031-6294563b8472}" IsUserDefined="0" layout="varwidth" columns="1" labelwidth="175" celllabelalignment="Left" celllabelposition="Left">
                <labels>
                  <label description="Other VA services used:" languagecode="1033" />
                </labels>
                <rows>
                  <row>
                    <cell id="{2444463e-9948-c78e-9027-014995da413e}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Health Care" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_serviceshealthcare_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_serviceshealthcare_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{00a19a89-e25a-2d71-a831-420ccd16c637}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Substance Abuse Program" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_programsubstanceabuse_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_programsubstanceabuse_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{8b34e34d-0e68-982c-b01d-90686304aa3e}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Mental Health Program" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_programmentalhealth_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_programmentalhealth_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{2eb3108b-373b-0e80-27d8-634e0407e259}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Vocational Rehab" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_programrehab_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_programrehab_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{d4b6b8e6-768e-5d28-7a8d-38c9d1b9ca62}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="VA Compensation" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_programcompensation_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_programcompensation_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{3deb3731-deb0-b31b-750c-7d08118d2bb6}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="VA Pension" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_programpension_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_programpension_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{7560dede-ea12-a74a-bc67-d085491bed3b}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Veteran Center" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_programvetcenter_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_programvetcenter_bool" disabled="false" />
                    </cell>
                  </row>
                </rows>
              </section>
            </sections>
          </column>
        </columns>
      </tab>
    </tabs>
    <DisplayConditions Order="1">
      <Role Id="{627090ff-40a3-4053-8790-584edc5be201}" />
      <Role Id="{119f245c-3cc8-4b62-b31c-d1a046ced15d}" />
    </DisplayConditions>
  </form>
  <IsCustomizable>1</IsCustomizable>
  <CanBeDeleted>1</CanBeDeleted>
  <LocalizedNames>
    <LocalizedName description="NCCHV Assessment Quick View Homelessness Questions Part 1" languagecode="1033" />
  </LocalizedNames>
</systemform>