Request for Housing Assistance

This form is intended for individuals and families in recovery from opioid use, abuse, and/or addiction who are seeking financial support to secure or maintain stable housing. Our mission is to support your journey toward long-term recovery by addressing immediate housing needs, including rent payments, utility assistance, non-refundable deposits, and other housing-related expenses.

To apply for assistance, please complete this form by following the link on our website below. We are committed to helping you establish a stable foundation for recovery.

Funding is only available for residents of the counties listed on the form below.