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 City or Zip Code
Gender *
Disabled *
Veteran *
Ethnicity *
Language.
Education.
Homebound
Transportation (if Homebound set to ‘YES’)
Race.*
Oregon Tribe Option (if Native American has been selected)
Non-Cash benefits client receives *
Does this client have any income *
(None, Yes, None-Zero Income Statement, Don’t Know, Refused).
If ‘None-Zero Income Statement’ is selected a required ‘Zero Income Comment’ block
appears; otherwise it is hidden.
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Click the ‘Save’ button.
Items marked with * required responses to be selected. Other items are optional and can be
left blank.
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WEATHERIZATION OPUS User Manual, Section 2 – Client Intake-New