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 but is different than, and independent from, the Impact Reduction Program's Navigation Team.
If you are experiencing homelessness, the City also has information about resources, hygiene access, and job opportunities.