Form for Housing Assistance for Ukrainian Clients

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

• Citizen or national of Ukraine and has received humanitarian parole
• Arrived in the United States between 2/24/22-9/30/23, and lives in Oregon
• Has documentation to show their legal status and date of entry in the United States
• Does not have a Uniting for Ukraine sponsor, or their sponsor is unable to provide support

Refugee Care Collective may have up to 3-4 months of housing to provide, dependent on eligibility and demonstrated need.

• This referral form is for LCSNW PC-UHP-GAP, PC-ICM, 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 have not heard back within 48 hours, please email directly.