Your Details Let's Get Started "*" indicates required fields Name*Gender*Date of birth* Day Month Year Current address or homelessness situation*Mobile*Can you make & receive calls? (credit / power availability)*Is it safe to call or text this number?*Email address* Do you identify as Aboriginal or Torres Strait Islander?*Please selectYesNoPrefer not to answerDo you have cultural or language requests we should know about?Do you have children/dependents in your care?*Please selectYesNoPlease list the names and ages of those in your care*NameAge Add RemovePartner namePartner date of birth Day Month Year Do you have safety concerns?Is there an AVO in place?Other services being accessedDo you have a current Housing NSW application?*Please selectYesNoWhat is your main source of income?*Next pay date Day Month Year How did you hear about us?*Please select oneFriend or family memberOther serviceWebsite or social mediaAlready knew about youThis site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Here to provide support when you need it. Upper Hunter Homeless Support provides case management under the "Going Home Staying Home Program" which supports people who are at risk of homelessness or who are homeless Make a Donation Provide Feedback Make a Referral