Application Forms

To apply for our services online, click here.

To apply for our services in person or by mail, see information below.

Cape Breton Island District

Serving Cape Breton Island

• Application Form
• Priority Access Referral Form – Life-Sustaining Health Services
• Priority Access Referral Form – Inadequate Housing
• Priority Access Referral Form – Homelessness
• Priority Access Referral Form – Family Violence
• List of properties for families and seniors

Northern District

Serving the communities of Guysborough County, Antigonish County, Pictou County, Cumberland County, Colchester County

• Application Form
• Priority Access Referral Form – Life-Sustaining Health Services
• Priority Access Referral Form – Inadequate Housing
• Priority Access Referral Form – Homelessness
• Priority Access Referral Form – Family Violence
• List of properties for families and seniors

Metropolitan District

Serving Halifax Regional Municipality and Hants County (East and West)

• Application Form
• Priority Access Referral Form – Life-Sustaining Health Services
• Priority Access Referral Form – Inadequate Housing
• Priority Access Referral Form – Homelessness
• Priority Access Referral Form – Family Violence
• ​List of properties for families and seniors

Western District

Serving the communities of Kings County, Annapolis County, Digby County, Yarmouth County, Shelburne County, Queens County, Lunenburg County

• Application Form
• Priority Access Referral Form – Life-Sustaining Health Services
• Priority Access Referral Form – Inadequate Housing
• Priority Access Referral Form – Homelessness
• Priority Access Referral Form – Family Violence
• List of properties for families and seniors