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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.

2 of 3 Tell Us About Yourself

Please enter your first and last name

What is the name of the community based organization that you represent?

Please briefly describe the community based organization you represent.

Please indicate how many caseworkers work for your organization who may also need access to apply for benefits on behalf of clients. We will work with you to get them set up.

(US and Canada only)

By checking this box, I attest that I am a representative of a qualified Non Profit 501(c)(3) organization that provides benefit consulting to low income individuals.

This will be determined by your email address. You must use an email with a .org suffix to be approved for this program.

Please enter your email address

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.