Housing and Disability Assistance Program
Organization Referral

We are Here To Help!
Meagan Smith
(530) 533-5863 Ext 203
Contact Meagan
Christine De Los Santos
(707) 468-1336 Ext 122
Contact Christine
Priest Martinez
(707) 468-1336 Ext 125
Contact Priest

HDAP Organization Referral Form

  • Referring Agency or Organization

  • Hidden
    MM slash DD slash YYYY
  • Include phone ext. if applicable
  • Email of referring person.
  • Participant Information

  • Legal name only
  • List dates and times when Participant will be available
  • Please provide information about the reason for this referral. Including housing and employment situation, and any other relevant information.

we review every application we receive

I applied, now what?

Northern Circle has received your application and now you’re curious about what you should do? We’ll contact you! 

Depending on which application you submitted with NCIHA, a staff member of that department will review and verify your application and reach out to you about your submission. We will receive your application the day you submitted it through our website or fax; 3-5 business days by mail, and will begin processing you into our system. It takes up to 10 business days to receive a response about your application. 

In the meantime, if you have a change in your information, such as a change in contact information, please reach out to us so we can update your application and prevent any delays in processing.

Email: receptionist@nciha.org

Mail: 694 Pinoleville Dr. Ukiah CA

Phone: (707) 468 1336