Submit a Request

Use this form to submit a Service request for Housing Contract Administration.

Please note: This Help Desk is for agency use only. If you are an individual experiencing a homeless situation or at-risk of becoming homeless, please call 502-564-7630 and request information for assistance that may be available in your county. Thank you.

Subject

A short description to explain the nature of a ticket.

First Name

Last Name

Email Address

Phone Number

Please select the department your question is related to?

Homeless Programs

Single Family

Please refine your question topic.

CoC Location

Project Number (e.g., ES16-0000-01)

Enter the requested information or write 'N/A' if it does not apply.

Agency

Description

The full details of a ticket, including any appropriate circumstances or supplementary information that may aid in resolving it.

Attachment

File attachments associated with the ticket.

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Other Fields

Your name

Your email address

Verification Code