Housing Referral Request
Please contact Brandon Fitzgerald at Brandon@careslink.org  if you have any questions.  

IMPORTANT INFORMATION TO READ BEFORE PROCEEDING!

Please complete one referral for each unit or voucher.  

Complete all questions to assure your referral will be accurate and timely. We may not be able to complete a referral if all information is not complete. 

Referrals may take up to 1-3 business days, please make sure you are requesting them in advance.  If you do not hear from the Priority list manager in 3 business days please email.
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Email *
Date of request *
MM
/
DD
/
YYYY
Date referral is needed by (enter specific date if in the future (new project opening, new funding, or unit will be vacant) or ASAP if voucher or unit is open now. 
Name of person requesting referral (first, and last) *
Phone Number *
Organization *
Name of the program are you needing a referral for? (full name of program) EX. ____townhomes *
HMIS EDA for the program you are requesting a referral. 
(ex. CAPLP RRH WCC HUD ESG-2939)
 *
What type of program are you making the request for? *
Please check the type of household you are requesting a referral for.  *
What is the bedroom size for the requested unit or voucher?  *
Which county or counties is this request for? *
Required
Does the client currently need to be located in the county that the program is located in? *
Please check eligibility requirements related to the length of time homeless.  *
Required
Please check other eligibility requirements. Note these must be funder required to comply with Housing First policies. *
Required
Is there any additional information you want to share that will help assure a rapid and accurate referral?  (Important! any missing information may effect the referral)
A copy of your responses will be emailed to the address you provided.
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