How do I request housing support?
If you have met the eligibility standards listed above and want to request a housing support, simply click the button below to fill out the online housing request form. Jackson Care Connect will review your application to determine whether your request meets eligibility criteria for Health Related Social Needs (HRSN) or Health Related Service Fund (HRSF)/”Flex” based upon the information you provide. Successful submission of a request does not mean it will be approved.
Digital Housing request formYou can also download and fill out the Housing request form (PDF) and submit it to 211 by email or fax.
- Fax number: 503-214-8909
- Email: hrsn@211info.org
You can fill out either form yourself, or with the help of a parent, a caregiver, or a guardian/support/trusted friend, or a staff member from an organization or clinic.
If you have questions or would like help filling out the request form(s), call 211's direct line at 866-698-6155.
Additional resources
Here are some community resources for members who need urgent help to prevent eviction or who have already become homeless:
- For the most up-to-date housing resources in your area…
- Visit www.211info.org
- Call 2-1-1 (or 1-866-698-6155)
- Email help@211info.org
- Text your zip code to 898211 (TXT211) Monday – Friday, from 9 a.m. to 5 p.m .
- Community Alliance of Tenants has a comprehensive resource page for Oregon renters.
- For help with utilities, members can also contact their local Community Action Agency.