Everyone is required to stay home, except for essential needs. When out, protect yourself and those around you by wearing a face covering, staying 6 feet away from others, and washing your hands often. Learn more at cityofberkeley.info/covid19. City offices are closed to the public. Some services are available remotely.

The City of Berkeley Health Officer has ordered all residents to shelter at home, leaving only to receive or provide essential services, starting 12:01 am on Tuesday, March 17. See details of the Order, frequently asked questions, and recommendations from Berkeley Public Health at https://www.cityofberkeley.info/coronavirus.

City Council Live Stream: Please visit https://www.cityofberkeley.info/CalendarEventWebcastMain.aspx

ZAB Live Stream: Please visit http://www.cityofberkeley.info/Clerk/Commissions/Zoning_Adjustment_Board_Meeting_-_Video_Stream.aspx.

The City of Berkeley web site is undergoing scheduled maintenance starting on Friday night, September 13 and ending on Saturday afternoon, September 14. During this time, most web pages should be available, but some resources may become unavailable for short periods of time.

Looking for a live stream of the Zoning Adjustments Board (ZAB) meeting on 5/9/19, at 7:00pm? Please visit https://www.youtube.com/channel/UC1UAnZ8kU8EWllREyOY7rwQ/. The normal viewing methods will not work this time due to a concurrent City Council Special Meeting at the same time.

Looking for a live stream of the Zoning Adjustments Board (ZAB) meeting on 2/28/19, from 6:00 to 11:00 PM? Please visit http://www.cityofberkeley.info/Clerk/Commissions/Zoning_Adjustment_Board_Meeting_-_Video_Stream.aspx. The normal viewing methods will not work this time due to a concurrent City Council Special Meeting at the same date and time.

PG&E is reporting a widespread outage affecting thousands of customers in Berkeley and many City buildings, including the Finance Customer Service Center and the Permit Service Center. Call respective City services for further details, or check the PG&E outage page. Power is expected to return by 12:45pm. Traffic lights that are not working should be treated as a four-way stop sign.

Translation Disclaimer

Health, Housing & Community Services Department
Health, Housing & Community Services Department

Community Agency Contract Forms

Community agencies providing services (including housing rehabilitation services) and entering into contract with the City of Berkeley are required to use the forms provided on this page.  You may either open the documents in html by clicking on the link, or right click on the document, then click on “Save As” and save the document to your computer.  If you have questions on any of these forms or documents, contact your contract monitor.

FY 2022 Community Agency Webinar Slides  

FY 2022 Community Agency Webinar Q&A - New    

Final FY 2022 Community Agency Allocations  



Insurance Sample (PDF)

Insurance Checklist

General Documents:
Attachment A - Income Requirements(PDF)

Attachment B - Required Intake Elements (PDF)

Attachment C - Required Client Satisfaction Survey Questions (Word) 

TB Testing Sites (PDF)

Section 504 Checklist (PDF)

Criminal Background FAQ (Word)

Living Wage Ordinance FAQ  

City Of Berkeley Workforce Standards and Enforcement

Procurement Procedures Templates (Word)

City of Berkeley ADA Compliance 

City of Berkeley ADA Grievance Procedure and Form (PDF)


Reporting Documents:
Equipment Tracking Form (Excel)

Near Relative Notification Form (Word)

Contract Documents:

Sanctuary City Compliance Statement (Amendments Only) 

Workforce Composition (Excel)

Nuclear Free Berkeley Disclosure (PDF)

Certification of Compliance with Living Wage Ordinance (PDF)

Certification of Compliance with Equal Benefits Ordinance (PDF)

ADA Self-Certification Form (PDF)

Certification of Anti-Lobbying** (PDF)

Certification of Drug-Free Workplace** (PDF)

Evaluation Commitment (Word) 

Duplication of Benefits Certification for CARES Act Funds

Additional Homeless Documentation 

Berkeley’s Homeless Coordinated Entry

**Agencies receiving CDBG, ESG, and/or HOME funds must submit these forms.




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Health, Housing & Community Services Department, 2180 Milvia Street, 2nd Floor, Berkeley, CA 94704
Questions or comments? Email: HHCS@cityofberkeley.info Phone: (510) 981-5400
(510) 981-CITY/2489 or 311 from any landline in Berkeley
TTY: (510) 981-6903