Case Intake

Submit a Case

Complete the form below to begin the housing stabilization coordination process. We will review your submission and connect you with appropriate resources.

Note: We do not guarantee housing placement. We coordinate with existing resources to help families navigate toward stability.

Case Intake Form

First Name *

Last Name *

Email Address *

Phone Number *

Relationship to Person in Need *

Current Housing Situation *

Urgency Level *

Household Income Range

Ideal Timeline for Resolution

Household Size

Additional Notes

I understand that submitting this form does not guarantee housing placement. I consent to having my information reviewed by the Raleigh Rebuild coordination team for housing stabilization resources. *

What Happens After Submission?

Your submission will be reviewed within 2-3 business days
Our team will assess your case and determine appropriate pathways
We will contact you via email or phone with next steps