Referral Form for Housing Assistance for Afghan Clients

Thank you for your interest. We are currently not accepting referrals for this program.


The purpose of this form is to recommend Afghan clients for housing assistance. The client must meet the following criteria:

  • Must be from Afghanistan
  • Has a qualifying immigration status
  • Arrived in the United States on or after 7/31/21, and lives in Oregon
  • Has documentation to show their legal status and date of entry in the United States

Refugee Care Collective may be able to provide 1 month of housing, dependent on eligibility and demonstrated need.

  • This referral form is for LCSNW PC-ICM, PC-ASA, ECM, and PIP programs.
  • Please fill out this form to the best of your ability. We will not contact potential clients without contacting you first.

If you are having trouble viewing the form below, please try a different browser or email to complete the referral.

If you have not heard back within 48 hours, please email directly.


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