Risk Mitigation Request

Use the form below to request assistance and submit materials for a claim for the following programs:

Regional Long-term Rental Assistance (RLRA) Risk Mitigation Program
Portland Housing Bureau (PHB) Risk Mitigation Pool
OHCS Permanent Supportive Housing (PSH) Risk Mitigation Pool

Upon receipt of all required materials we will prepare the claim form and submit the claim for processing. If additional materials are needed to complete the claim form we will reach out via email.

Please note we do not provide approval or denial of claims; we provide technical assistance in accessing the programs.

Download ACH Transfer Form for PHB and RLRA Risk Mitigation Claims.

For more information about these programs please visit our Risk Mitigation Guide.

Name

First Name

Last Name

Phone

(###)

###

####

Property Name

Property Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How would the property prefer to receive reimbursement?

Please note an ACH transfer form is required to receive funds via ACH. You can download a copy from above and submit below.

What is your role?

Property Owner

Property Manager

Supportive Housing Service Provider

Risk Mitigation Program

Please provide a brief description of the situation that resulted in the claim.

Risk Mitigation Request

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