Pacific House Properties are intended for individuals who are currently homeless and
are registered with the State of Connecticut Homeless Management Information System

Instructions: Click here to download the application form.

This form can be filled out online OR printed and completed by hand.

Upon completion of your application you can submit by email or mail with your additional documentation:

  • email to:
  • ​print and mail to: 
    Pacific House
    137 Henry Street Suite 205
    Stamford, CT  06902
    Attention: Miriam Pacheco, Housing Program Coordinator


CLICK HERE to download application