477-SSP Request an Application for Services Once you request an “Application for Services,” you will be scheduled an intake appointment within 5 working days. The application pending period is 45-days. Should you exceed 45-days, you can immediately reapply for services. Once the required documentation is submitted, the staff will determine eligibility within 5 working days. The staff will mail a Letter of Notification providing an eligibility determination with appeal rights.Name(Required) First Last Roll NumberEmail(Required) Phone(Required)What County Do You Reside In? Lincoln or Tillamook County Clackamas, Multnomah or Washington County Marion, Polk or Yamhill County Benton, Lane or Linn County What kind of services are you requesting? Temporary Assistance for Needy Families (TANF) Pre-TANF Non-Needy Caretaker Relative (NNCR) General Assistance for Single Adults (GASA) Emergency Assistance (EA) Diverted Services Classroom Training (CRT) Work Experience (WEX) On-the-Job Training (OJT) Direct Placement (DP) Supplemental Youth Services (SYEP) Core Services Support Services Siletz Tribal Home Visiting You can read about these services on our 477-SSP Programs page.This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.NameThis field is for validation purposes and should be left unchanged.
