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Covid-19 Crisis Housing Form
This form is to help direct you to the best assistance options available for your situation. Please tell us how best to direct your inquiry.
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* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Cell Phone (best contact number)
*
Your answer
City/Town/Region of Residence
*
Choose
Bonner County (not in a town municipality)
Boundary County (not in a town municipality)
Sandpoint
Bonners Ferry
Kootenai/Ponderay
Dover/Laclede
Sagle
Priest River/Old Town
Hope/Clark Fork
How Many People in your household?
*
Choose
1
2
3
4
5
6+
What area are you looking for assistance in?
*
Rental Assistance - Unable to pay rent on time
Rental Assistance - Being Evicted
Rental Assistance - Homeless
Rental Assistance - Other Issue
Homeowner Assistance - Going to be late on a Mortgage Payment
Homeowner Assistance - Currently late on Mortgage Payments
Homeowner Assistance - Other Issue
Please Explain
*
Your answer
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