Please fill out this form to request an eligibility screening for a prospective WA MASS client. A Hub navigator will review their documents and contact them directly via their preferred channel to discuss their eligibility as soon as possible. If you or the potential client have any questions about the Hub, please refer to the "About Us" section of the Hub webpage. Prospective clients can always speak to a navigator over the phone via the Hub hotline at +1 (541) 703-8336. With the client's consent, upload the documents for the head of household applicant only. Please note that submission of documents does not guarantee services.

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