Foreclosure Intervention Program
Intake Form

Please fill out the Intake Form below. A Certified Housing Counselor will contact you to discuss your situation
(Para ayuda en Español as click AQUÍ).




Thank you for completing the Intake Form! One of our housing counselors will contact you within 24-48 hours. If you do not hear back please call 602-263-5741 and ask to speak with Gila to get an update on the status of your application.


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"To serve the general welfare of our community and to advocate for health and human services that meet the needs of all members of the community, especially the most vulnerable and dependent."

3117 North 16th Street, Suite 100 • Phoenix, Arizona 85016
Phone: (602)263-5741 • Fax: (602)263-0815 •
© 2012 LCSA

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