Program Forms and Outreach Materials

Safe at Home Program Applicants:

The Safe at Home program application is not available online. You must make an appointment with a certified enrolling agency to complete the application in person. Please consult the Where to Find an Enrolling Agency page to make an appointment with an enrolling agency near you. For more information go the Applicant Tab or contact the Safe at Home program at (877) 322-5227.

Certified Enrolling Agency Advocates:

The following forms are for Certified Safe at Home Enrolling Agency Advocates, only. For more information about becoming a Certified Safe at Home Enrolling Agency, please visit the enrolling agencies page or contact the Safe at Home program at (877) 322-5227.

2018 Safe at Home Brochure (PDF)