Family Housing Crisis Problem-Solving Referral through RDOOR Housing Corporation and the HomeNow Indy Initiative

Family Housing Crisis Problem-Solving Referral through RDOOR Housing Corporation and the HomeNow Indy Initiative

Submit requests for RDOOR Diversion Specialist to follow up for a Housing Problem Solving conversation. Submitting this form does not guarantee enrollment and/or financial assistance.
Today's Date*

MonthDayYear
Referral Source

Self-referralAgency referral
Agency referral information
STOP and read-Instructions/FAQ
*Families will receive a call within 5 business days

*Need immediate Emergency Shelter-please call 211 or 911

*Facing Eviction? Unfortunately, we do not have eviction prevention resources. Please seek resources through the Township Trustee offices or local community centers

*Adult household or no minor children, call 211 for information about Horizon House and local shelters
Facing eviction? Unfortunately, we do not have eviction prevention resources. If you would like some help problem-solving about next steps after eviction, please complete this form.*

YesNo
Do you have children under the age of 18 in the home?*

If Yes....IF NO.... Call 211, Horizon House, local shelters
Number of children in the home under the age of 18?*
Head of Household's Name*

First NameMiddle NameLast Name
Head of Household's Date of Birth *

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email*
[email protected]
Approximate monthly income:*
Where did you stay last night?*
Describe your current housing crisis in a few sentences*
Should be Empty:

STOP and read-Instructions/FAQ