California Care Coordinators
HIPAA Protected Application

Apply for CalAIM Housing Support in Five Minutes

A CCC case manager will review your information and reach out within one to two business days. If your situation is urgent, call (888) 582-2282 directly.

Your Application

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Personal Information

Current Address

Eligibility Information

Your information is protected under HIPAA and the California Consumer Privacy Act (CCPA). CCC will never share your personal information without your consent. By submitting this form, you consent to be contacted by a CCC representative regarding your application.