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For your information:

After you apply, end your session to protect your data.

Register as a Trusted Community Based Organization

For caseworkers who connect clients to benefits and services.

1 of 3 Please Log In

Please complete this 2-minute form so we can set up your account to help others apply. We will use your work-issued email to identify you as a caseworker. You will receive an email notification when your account is ready. You will use the same work-issued email to create your account.

You must be logged into CiviForm. If you have not yet created an account, please click CREATE ACCOUNT in the upper right corner and register with your organization email before beginning the application. If you have any questions, please email us at civiform@seattle.gov.

If you are logged in it will say "Logged in as lastname,firstname" in the upper right corner.

Some answers on this page need to be fixed

This page of your application either has some errors or some fields were left blank. If you continue to the previous page, none of the information entered on this page will be saved until the errors are corrected.