Help The Homeless

1

About you

A preferred name is enough. Add only the details you are comfortable sharing.

Use Self-Service anonymouslyI prefer not to provide a name for this Interaction.

Preferred name optional

Veteran status optional

Add identifying detailsFirst name, last name, and date of birth are optional

First name optional

Last name optional

Date of birth optional

2

Household and where you are staying

Choose the clearest answer available. One short follow-up appears only when it improves accuracy.

Adults included

Are children under 18 included?

Number of children

Where are you staying right now?

Please describe

Add general location detailsArea, ZIP code, and county are optional

General location optional

ZIP code optional

County optional

3

What do you need help with today?

Choose every need that applies. We will suggest resources that may help.

4

How would you like to continue?

Choose what should happen after this check-in.

Continue with Self-ServiceUse Knowledge, build a Help Plan, and request help only if needed. Request staff help nowLive staff assistance is not currently available. Request follow-up laterContinue Self-Service now and ask HTHS to contact you.

Add contact information only when it supports the option you selected.

Preferred contact method

Phone number

Email address

Contact details apply only to this Interaction. HTHS uses them only to support the help option you selected.