Housing Referral Request
Please complete this form and then click the Submit button. If you have questions or concerns, you may email us at firstname.lastname@example.org. Emails are NOT accepted in lieu of filling out and submitting form.
Program is limited to any survivors (with children) of domestic violence transitioning to stable housing in Clackamas County. A family can receive assistance only once and the maximum allowable is $750. All funds will be issued by check to the apartment office, property management or landlord.
Privacy Alert: Do not include information on this form that is subject to privacy laws as form contents are shared via unsecured emails.
Angels in the Outfield requires a caseworker, a teacher, a counselor, a CASA, a law enforcement officer or someone in a similar position to make the referral request.