Confidential Intake01Applicant-first public front door
Human Review02No automatic outside outreach
Document Readiness03Lease, notices, income, arrears
Consent Boundary04Landlord contact held for approval
Important Public Notice
Please read before submitting.
Potter’s Gate Charities reviews requests with compassion and confidentiality. Submission does not guarantee financial assistance, legal representation, housing placement, landlord action, agency approval, or emergency shelter.
Not emergency services
If you are in immediate danger, facing violence, or need shelter tonight, contact emergency services or your local crisis/housing hotline right away.
Not legal advice
This form does not create an attorney-client relationship. Court deadlines, eviction filings, and legal defenses should be reviewed with a qualified legal-services provider.
Consent comes first
Potter’s Gate Charities will not contact a landlord, court, agency, donor, or referral partner automatically from this public form.
How We Review Requests
A responsible review pathway for families under pressure.
The intake collects the information needed to understand urgency and determine the next responsible human-reviewed step.
Housing risk
Tell us whether you are behind on rent, facing eviction, dealing with unsafe housing, or unsure what to do next.
Timeline
Share urgent dates such as a notice date, court date, lockout risk, or immediate shelter concern.
Household context
Provide basic household, income, rent, arrears, county, and municipality information for review.
Next step
A trained reviewer can determine whether follow-up, document preparation, mediation review, or referral guidance may be appropriate.
Secure Public Intake
Housing Stabilization Intake
Complete as much as you can. Do not upload private documents here. A reviewer can request documents through the appropriate secure process after the case is opened.
After You Submit
Your intake enters confidential human review.
A reviewer may use the information provided to understand urgency, request missing documents through an appropriate secure process, and determine whether follow-up, referral guidance, document preparation, or mediation review may be appropriate. No outside party is contacted automatically.