You do not have to face this alone

Let Us Help You Take the Next Step Home

If you or your family are experiencing housing instability, homelessness or another difficult life transition, use this form to tell Get Them Home what support you need. We will review your request with dignity, compassion and care.

Start an Assistance Request
This form is not monitored as an emergency service. If you are in immediate danger, call 911. For local housing, food and utility resources, call 211. For mental-health or emotional crisis support, call or text 988.

A clear and compassionate process

What Happens After You Apply?

01

Submit

Tell us what is happening and select every type of support you need.

02

Review

Our team reviews your request, current needs and available resources.

03

Connect

When possible, we contact you for next steps, documents or referrals.

04

Move Forward

We work with you on an available resource, referral or practical next step.

Request support

Tell Us How We Can Help

Complete the form as fully as you can. A team member will review your information and contact you if Get Them Home has an available resource, needs more information or can offer a referral.

Your privacy matters

Only share information needed to help us understand your request. If documentation is needed, the team can explain how to provide it after reviewing your form.

1. Your contact information

2. Tell us about your household

3. What assistance are you requesting?

Select all that apply. At least one selection is required.

Assistance requested
Please do not include Social Security, bank, credit-card or account numbers.

4. Permission and acknowledgment

Please press Submit only once. Keep the confirmation message for your records.