Homeless Prevention Interest List Check-In

Households may use this form to provide their monthly check in required to maintain active status on the interest list. Submissions from households who are not actively on an interest will be screened out and will not be followed up with at this time. Households are encouraged to call our screening line for additional resources in Whatcom County.

Name(Required)
Date of Birth(Required)
Address(Required)
Changes to your housing may include: Changes in your pay, changes in rent costs, changes in the number of people living with you, etc.