Safe at Home Program Applicants:

The Safe at Home enrollment application is not available online. You must make an appointment with a designated Enrolling Agency to complete the application. For more information, please visit the Applicants page.

Enrolling Agency Staff:

The following forms are for staff members at active Enrolling Agencies.

For more information about becoming a designated Enrolling Agency, please visit the Information for Enrolling Agencies page.

Safe at Home Brochures (PDF)

Please click on the image below to view the PDF

General Information Brochure EnglishGeneral Information Brochure Chinese (Traditional)General Information Brochure Korean

General Information Brochure SpanishGeneral Information Brochure TagalogGeneral Information Brochure Vietnamese

Enrolling Agency Information BrochureGovernment Agency Information Brochure