Apply for housing services

IN ORDER TO BE ELIGIBLE FOR THE VAH PROGRAM, YOU MUST BE:

  • HOMELESS OR AT-RISK OF HOMELESSNESS
  • A SINGLE MALE VETERAN WITHIN THE BAY AREA (NORTHERN CALIFORNIA)
  • A VETERAN OF ANY ERA
  • WILLING TO ENGAGE IN WEEKLY CASE MANAGEMENT
  • WILLING TO LIVE IN COMMUNAL HOUSING
  • ASSESSED AS AMBULATORY, ABLE TO NAVIGATE INDEPENDENTLY AND CARE FOR DAILY HEALTH NEEDS.
  • NOT RESPONSIBLE FOR THE CARE OF A PET OR SERVICE ANIMAL.

PLEASE NOTE THAT PROGRAM ELIGIBILITY IS DETERMINED ON A CASE-BY-CASE BASIS. MEETING CRITERIA FOR PROGRAM ELIGIBILITY DOES NOT GUARANTEE ACCEPTANCE INTO THE PROGRAM.

MUST COMPLETE STEP 1 AND STEP 2

Step 1

Please print, sign & return the Department of Veterans Affairs Health Release Form

PDF VERSION FOR DOWNLOAD

DOWNLOAD THE FORM

Completed forms can be:

  • Emailed to admin@vahouse.org
  • Faxed to 925.822.3185
  • Mailed to 1820 Galindo Street Suite 210, Concord, CA 94520

PICTURE VERSION FOR DOWNLOAD

step 2

Submit the below web application to us:

Step 1 of 3