This form will take 2-3 minutes to complete.
The purpose of this form is to connect currently unsheltered/homeless community members who are interested in assistance with a City Street Outreach Worker. After receiving the form, City Outreach workers will attempt to reach out within 30 days to establish a connection and offer support in navigating appropriate next steps. Filling out this form does not place a person on a waiting list for shelter.
If you are concerned that someone who is homeless needs an immediate welfare check, please contact 9-1-1 for Portland Street Response.
Do not use this form to report a campsite location for assessment. City Street Outreach Workers do not assess, clean, or take part in removing reported campsites. The City Street Outreach Team is a program of the City's Street Services Coordination Center.
If you are experiencing homelessness, the City also has information about resources, hygiene access, and job opportunities.
